Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.85 / $10.86 / $19.12	Facility	26	$10.85	$10.86	$19.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $39.52 / $97.82	Professional		$27.02	$39.52	$97.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $12.18 / $31.15	Professional	26	$10.86	$12.18	$31.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $25.87 / $52.24	Professional	TC	$23.44	$25.87	$52.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $37.90 / $57.68	Professional		$31.19	$37.90	$57.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $11.95 / $21.39	Professional	26	$9.56	$11.95	$21.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $30.89 / $36.34	Professional	TC	$21.52	$30.89	$36.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $49.00 / $83.74	Professional		$24.50	$49.00	$83.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $16.34 / $39.79	Professional	26	$11.95	$16.34	$39.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $29.52 / $60.00	Professional	TC	$25.96	$29.52	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $49.00 / $86.28	Professional		$35.96	$49.00	$86.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $17.50 / $29.80	Professional	26	$12.38	$17.50	$29.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.58 / $32.22 / $56.48	Professional	TC	$23.58	$32.22	$56.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $23.00 / $39.44	Facility	26	$19.05	$23.00	$39.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.10 / $151.10 / $151.10	Professional		$151.10	$151.10	$151.10
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $47.25 / $47.25 / $47.25	Professional	26	$47.25	$47.25	$47.25
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 $33.96 / $47.75 / $78.84	Professional		$33.96	$47.75	$78.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.33 / $16.55 / $30.82	Professional	26	$12.33	$16.55	$30.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.63 / $29.16 / $52.09	Professional	TC	$21.63	$29.16	$52.09