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 $32.72 / $38.93 / $64.45	Professional		$32.72	$38.93	$64.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.23 / $19.50	Professional	26	$9.41	$10.23	$19.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $28.29 / $46.56	Professional	TC	$23.29	$28.29	$46.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $43.23 / $49.88	Professional		$43.23	$43.23	$49.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $11.01 / $19.71	Professional	26	$8.80	$11.01	$19.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $56.00 / $91.96	Professional		$40.21	$56.00	$91.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $17.00 / $24.72	Professional	26	$11.01	$17.00	$24.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.21 / $39.00 / $64.77	Professional	TC	$29.21	$39.00	$64.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $55.92 / $91.09	Professional		$40.17	$55.92	$91.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $14.73 / $27.44	Professional	26	$10.32	$14.73	$27.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.24 / $41.46 / $64.42	Professional	TC	$30.24	$41.46	$64.42
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $19.00 / $33.00	Facility	26	$15.00	$19.00	$33.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $159.19 / $159.19	Professional		$159.19	$159.19	$159.19
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $43.53 / $43.53 / $43.53	Professional	26	$43.53	$43.53	$43.53
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 $38.47 / $50.30 / $82.76	Professional		$38.47	$50.30	$82.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $14.99 / $23.42	Professional	26	$10.29	$14.99	$23.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.05 / $35.06 / $58.19	Professional	TC	$28.05	$35.06	$58.19