Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.85 / $8.85 / $8.85	Facility	26	$8.85	$8.85	$8.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $35.35 / $73.45	Professional		$27.85	$35.35	$73.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $9.05 / $15.88	Professional	26	$8.35	$9.05	$15.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.37 / $24.85 / $31.75	Professional	TC	$20.37	$24.85	$31.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Professional		$39.65	$39.65	$39.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $17.43 / $17.43	Professional	26	$7.89	$17.43	$17.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $46.10 / $79.45	Professional		$36.88	$46.10	$79.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $20.50 / $29.12	Professional	26	$9.74	$20.50	$29.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.50 / $28.79 / $50.00	Professional	TC	$25.50	$28.79	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $47.07 / $83.69	Professional		$34.74	$47.07	$83.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $14.32 / $25.00	Professional	26	$9.96	$14.32	$25.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.62 / $33.24 / $58.69	Professional	TC	$24.62	$33.24	$58.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.78 / $19.00 / $32.49	Facility	26	$15.78	$19.00	$32.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $148.27 / $148.27	Professional		$148.27	$148.27	$148.27
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $38.53 / $38.53 / $38.53	Professional	26	$38.53	$38.53	$38.53
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 $32.22 / $46.50 / $76.80	Professional		$32.22	$46.50	$76.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.86 / $23.05	Professional	26	$10.23	$13.86	$23.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.95 / $32.00 / $54.85	Professional	TC	$21.95	$32.00	$54.85