Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.40 / $7.40 / $13.04	Facility	26	$7.40	$7.40	$13.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $27.41 / $55.75	Professional		$24.92	$27.41	$55.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.15 / $46.80	Professional	26	$7.33	$8.15	$46.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $19.28 / $32.08	Professional	TC	$17.57	$19.28	$32.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $30.32 / $30.32	Professional		$23.24	$30.32	$30.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.51 / $8.76 / $14.59	Professional	26	$6.51	$8.76	$14.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.55 / $21.55 / $23.86	Professional	TC	$21.55	$21.55	$23.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $33.46 / $56.25	Professional		$28.20	$33.46	$56.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $17.00 / $24.15	Professional	26	$8.15	$17.00	$24.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.00 / $20.14 / $32.36	Professional	TC	$14.00	$20.14	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $34.29 / $64.23	Professional		$24.29	$34.29	$64.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $11.41 / $20.28	Professional	26	$8.19	$11.41	$20.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.07 / $22.50 / $43.96	Professional	TC	$16.07	$22.50	$43.96
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 $112.46 / $112.46 / $112.46	Professional		$112.46	$112.46	$112.46
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $32.24 / $32.24 / $32.24	Professional	26	$32.24	$32.24	$32.24
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 $23.29 / $32.75 / $58.06	Professional		$23.29	$32.75	$58.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.95 / $17.82	Professional	26	$7.92	$10.95	$17.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.54 / $24.32 / $40.53	Professional	TC	$15.54	$24.32	$40.53