Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.26 / $8.26 / $8.26	Facility	26	$8.26	$8.26	$8.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $17.32 / $32.14	Professional		$14.91	$17.32	$32.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $9.14 / $15.54	Professional	26	$8.26	$9.14	$15.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.38 / $7.93 / $12.62	Professional	TC	$6.38	$7.93	$12.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $11.62 / $16.80	Professional	26	$9.39	$11.62	$16.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $39.00 / $56.46	Professional		$17.42	$39.00	$56.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $22.00 / $30.19	Professional	26	$9.39	$22.00	$30.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $17.00 / $25.00	Professional	TC	$7.94	$17.00	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $27.88 / $46.60	Professional		$19.57	$27.88	$46.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $13.30 / $23.38	Professional	26	$9.41	$13.30	$23.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.49 / $14.26 / $27.84	Professional	TC	$8.49	$14.26	$27.84
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $18.00 / $30.16	Facility	26	$14.72	$18.00	$30.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $64.18 / $64.18	Professional		$64.18	$64.18	$64.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $35.95 / $35.95	Professional	26	$35.95	$35.95	$35.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $22.53 / $22.53	Professional		$22.53	$22.53	$22.53
United Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $25.34 / $42.45	Professional		$18.14	$25.34	$42.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $12.61 / $20.58	Professional	26	$9.27	$12.61	$20.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.97 / $11.26 / $24.44	Professional	TC	$7.97	$11.26	$24.44