Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $13.80 / $19.95	Facility	26	$10.96	$13.80	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $112.20	Professional		$25.70	$43.65	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $35.48	Professional	26	$10.96	$16.98	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $64.57	Professional	TC	$22.91	$30.90	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $46.77	Professional		$25.70	$32.36	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.02 / $20.42	Professional	26	$9.55	$12.02	$20.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $40.74	Professional	TC	$22.91	$28.84	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $44.67 / $77.62	Professional		$24.55	$44.67	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.49 / $30.20	Professional	26	$12.30	$15.49	$30.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $29.51 / $53.70	Professional	TC	$26.92	$29.51	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $72.44	Professional		$35.48	$47.86	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.98 / $26.30	Professional	26	$12.30	$16.98	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $30.90 / $47.86	Professional	TC	$23.44	$30.90	$47.86
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 $25.70 / $25.70 / $25.70	Professional	26	$25.70	$25.70	$25.70
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 $33.88 / $44.67 / $77.62	Professional		$33.88	$44.67	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.14 / $26.30	Professional	26	$12.30	$15.14	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $52.48	Professional	TC	$21.88	$28.84	$52.48