Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.99 / $7.99 / $14.08	Facility	26	$7.99	$7.99	$14.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $29.57 / $59.24	Professional		$27.48	$29.57	$59.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $8.94 / $19.29	Professional	26	$7.99	$8.94	$19.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.07 / $34.85	Professional	TC	$17.57	$21.07	$34.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Professional		$30.03	$30.03	$30.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $7.13 / $13.28	Professional	26	$6.98	$7.13	$13.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $43.00 / $76.48	Professional		$30.03	$43.00	$76.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $20.00 / $28.41	Professional	26	$8.80	$20.00	$28.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.23 / $24.79 / $46.62	Professional	TC	$21.23	$24.79	$46.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $41.75 / $68.81	Professional		$30.93	$41.75	$68.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $13.00 / $22.64	Professional	26	$9.41	$13.00	$22.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.02 / $28.80 / $46.17	Professional	TC	$21.02	$28.80	$46.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.24 / $17.00 / $29.34	Facility	26	$14.24	$17.00	$29.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $120.92 / $120.92	Professional		$120.92	$120.92	$120.92
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $34.78 / $34.78 / $34.78	Professional	26	$34.78	$34.78	$34.78
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 $28.09 / $38.22 / $62.42	Professional		$28.09	$38.22	$62.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $12.08 / $19.89	Professional	26	$9.06	$12.08	$19.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $27.44 / $42.57	Professional	TC	$19.07	$27.44	$42.57