Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $12.88	Facility	26	$7.08	$7.08	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $64.57	Professional		$25.70	$33.11	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $20.89	Professional	26	$7.08	$8.91	$20.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.91 / $46.77	Professional	TC	$18.20	$22.91	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $27.54	Professional		$19.50	$22.91	$27.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $6.17 / $8.91	Professional	26	$5.37	$6.17	$8.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $25.12	Professional	TC	$17.78	$17.78	$25.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $57.54	Professional		$31.62	$38.90	$57.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $15.49 / $26.30	Professional	26	$8.51	$15.49	$26.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.44 / $33.11	Professional	TC	$18.62	$23.44	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $58.88	Professional		$28.84	$38.90	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $16.98	Professional	26	$7.94	$10.96	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $39.81	Professional	TC	$19.95	$26.92	$39.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Professional	26	$16.98	$16.98	$16.98
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 $25.70 / $34.67 / $60.26	Professional		$25.70	$34.67	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $17.38	Professional	26	$7.94	$9.77	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $24.55 / $42.66	Professional	TC	$17.38	$24.55	$42.66