Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.56 / $8.56 / $8.56	Facility	26	$8.56	$8.56	$8.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $33.34 / $71.76	Professional		$28.32	$33.34	$71.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $10.02 / $19.39	Professional	26	$8.56	$10.02	$19.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $22.87 / $43.41	Professional	TC	$19.57	$22.87	$43.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $33.58 / $55.92	Professional		$33.58	$33.58	$55.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $9.42 / $16.86	Professional	26	$7.54	$9.42	$16.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.20 / $33.20 / $39.06	Professional	TC	$33.20	$33.20	$39.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $45.00 / $78.75	Professional		$31.24	$45.00	$78.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $23.00 / $32.94	Professional	26	$9.42	$23.00	$32.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.82 / $24.31 / $47.27	Professional	TC	$21.82	$24.31	$47.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $44.09 / $71.83	Professional		$31.22	$44.09	$71.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $14.33 / $24.19	Professional	26	$9.78	$14.33	$24.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.61 / $31.00 / $47.93	Professional	TC	$21.61	$31.00	$47.93
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $16.26 / $19.00 / $32.49	Facility	26	$16.26	$19.00	$32.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $124.57	Professional		$124.57	$124.57	$124.57
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $87.33 / $87.33 / $87.33	Professional	TC	$87.33	$87.33	$87.33
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 $30.35 / $41.54 / $66.22	Professional		$30.35	$41.54	$66.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $13.05 / $21.59	Professional	26	$10.08	$13.05	$21.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $26.46 / $43.92	Professional	TC	$20.21	$26.46	$43.92