Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.91 / $16.22	Facility	26	$7.94	$8.91	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $83.18	Professional		$30.20	$38.90	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.88 / $28.18	Professional	26	$8.91	$12.88	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $57.54	Professional	TC	$20.89	$28.18	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $34.67	Professional		$23.99	$28.18	$34.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.77 / $16.60	Professional	26	$7.76	$9.77	$16.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $23.99 / $28.18	Professional	TC	$17.38	$23.99	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $83.18	Professional		$37.15	$52.48	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $22.39 / $38.02	Professional	26	$10.47	$22.39	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.92 / $46.77	Professional	TC	$21.88	$26.92	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $75.86	Professional		$36.31	$47.86	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.79 / $24.55	Professional	26	$10.47	$14.79	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $48.98	Professional	TC	$23.99	$32.36	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $23.99 / $23.99	Professional	26	$23.99	$23.99	$23.99
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 $33.11 / $42.66 / $72.44	Professional		$33.11	$42.66	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.49 / $22.91	Professional	26	$10.72	$13.49	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $48.98	Professional	TC	$21.88	$28.84	$48.98