Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.54 / $6.55 / $8.18	Facility	26	$6.54	$6.55	$8.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $21.53 / $43.32	Professional		$18.21	$21.53	$43.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.54 / $6.96 / $15.88	Professional	26	$6.54	$6.96	$15.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $14.42 / $31.09	Professional	TC	$12.02	$14.42	$31.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $23.60	Professional		$23.60	$23.60	$23.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.77 / $7.75 / $12.91	Professional	26	$5.77	$7.75	$12.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $29.00 / $47.55	Professional		$21.95	$29.00	$47.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $19.00 / $27.22	Professional	26	$7.21	$19.00	$27.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $14.74 / $23.12	Professional	TC	$10.00	$14.74	$23.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $28.65 / $50.83	Professional		$21.31	$28.65	$50.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.14 / $10.07 / $18.41	Professional	26	$7.14	$10.07	$18.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $19.00 / $32.90	Professional	TC	$14.70	$19.00	$32.90
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $11.24 / $13.00 / $23.04	Facility	26	$11.24	$13.00	$23.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $87.47 / $87.47	Professional		$87.47	$87.47	$87.47
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $28.52 / $28.52	Professional	26	$28.52	$28.52	$28.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.60 / $51.41	Professional		$25.48	$34.60	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $28.45 / $45.50	Professional		$20.39	$28.45	$45.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $9.55 / $16.38	Professional	26	$7.23	$9.55	$16.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.17 / $17.70 / $30.34	Professional	TC	$13.17	$17.70	$30.34