Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $91.20	Professional		$34.67	$44.67	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $25.70	Professional	26	$8.91	$12.02	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.11 / $64.57	Professional	TC	$25.12	$33.11	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $41.69	Professional		$28.84	$33.11	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.79 / $19.50	Professional	26	$10.72	$14.79	$19.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $89.13	Professional		$42.66	$56.23	$89.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.49 / $24.55	Professional	26	$11.48	$15.49	$24.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $38.90 / $66.07	Professional	TC	$31.62	$38.90	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $83.18	Professional		$38.90	$51.29	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.13 / $21.38	Professional	26	$10.23	$14.13	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.02 / $58.88	Professional	TC	$27.54	$38.02	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	26	$20.89	$20.89	$20.89
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 $38.90 / $48.98 / $83.18	Professional		$38.90	$48.98	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.59 / $22.91	Professional	26	$10.23	$12.59	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $34.67 / $58.88	Professional	TC	$28.18	$34.67	$58.88