Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.11 / $7.11 / $12.52	Facility	26	$7.11	$7.11	$12.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $28.03 / $54.60	Professional		$25.77	$28.03	$54.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $7.63 / $12.84	Professional	26	$7.11	$7.63	$12.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $20.39 / $33.40	Professional	TC	$18.55	$20.39	$33.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $7.83 / $8.61	Professional	26	$6.26	$7.83	$8.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $25.26 / $29.72	Professional	TC	$17.60	$25.26	$29.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $39.00 / $59.76	Professional		$29.06	$39.00	$59.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $20.50 / $26.88	Professional	26	$7.83	$20.50	$26.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.50 / $22.52 / $34.94	Professional	TC	$18.50	$22.52	$34.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $39.94 / $64.90	Professional		$28.64	$39.94	$64.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $11.59 / $19.47	Professional	26	$8.01	$11.59	$19.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $28.05 / $45.43	Professional	TC	$20.14	$28.05	$45.43
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.15 / $15.00 / $25.08	Facility	26	$12.15	$15.00	$25.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $115.92 / $115.92	Professional		$115.92	$115.92	$115.92
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $30.95 / $30.95	Professional	26	$30.95	$30.95	$30.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $37.68 / $59.83	Professional		$25.88	$37.68	$59.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.81 / $17.95	Professional	26	$7.92	$10.81	$17.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.73 / $25.71 / $41.88	Professional	TC	$18.73	$25.71	$41.88