Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $10.96	Facility	26	$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $91.20	Professional		$37.15	$47.86	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.49 / $36.31	Professional	26	$10.96	$13.49	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $64.57	Professional	TC	$23.99	$32.36	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $47.86	Professional		$34.67	$46.77	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.59 / $16.98	Professional	26	$12.30	$12.59	$16.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $21.38 / $26.92	Professional	TC	$21.38	$21.38	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $50.12 / $81.28	Professional		$26.92	$50.12	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.79 / $32.36	Professional	26	$12.59	$14.79	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $33.88 / $66.07	Professional	TC	$30.90	$33.88	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $81.28	Professional		$40.74	$54.95	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.78 / $27.54	Professional	26	$12.88	$17.78	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $36.31 / $56.23	Professional	TC	$27.54	$36.31	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	26	$26.30	$26.30	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $87.10	Professional		$38.02	$50.12	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $27.54	Professional	26	$12.59	$15.85	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $34.67 / $61.66	Professional	TC	$25.12	$34.67	$61.66