Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.84 / $8.85 / $15.58	Facility	26	$8.84	$8.85	$15.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $35.04 / $56.64	Professional		$30.76	$35.04	$56.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $10.60 / $17.78	Professional	26	$8.85	$10.60	$17.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.79 / $24.44 / $40.92	Professional	TC	$21.79	$24.44	$40.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $27.94 / $28.84	Professional		$27.14	$27.94	$28.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $10.47 / $14.70	Professional	26	$7.79	$10.47	$14.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $52.00 / $93.76	Professional		$33.93	$52.00	$93.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $30.00 / $38.96	Professional	26	$9.74	$30.00	$38.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $26.40 / $50.87	Professional	TC	$22.00	$26.40	$50.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $49.44 / $77.06	Professional		$36.72	$49.44	$77.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $15.12 / $25.92	Professional	26	$11.28	$15.12	$25.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.40 / $35.14 / $52.06	Professional	TC	$25.40	$35.14	$52.06
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.51 / $21.00 / $35.20	Facility	26	$17.51	$21.00	$35.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $135.28 / $135.28	Professional		$135.28	$135.28	$135.28
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $96.78 / $96.78 / $96.78	Professional	TC	$96.78	$96.78	$96.78
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 $33.45 / $43.70 / $69.84	Professional		$33.45	$43.70	$69.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $13.89 / $23.05	Professional	26	$10.71	$13.89	$23.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.10 / $30.74 / $48.67	Professional	TC	$22.10	$30.74	$48.67