Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $89.13	Professional		$28.18	$41.69	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $25.12	Professional	26	$7.94	$12.02	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $48.98	Professional	TC	$19.05	$25.70	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $60.26	Professional		$25.12	$33.88	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.33 / $16.22	Professional	26	$7.41	$9.33	$16.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $18.62 / $33.11	Professional	TC	$15.85	$18.62	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $74.13	Professional		$33.88	$44.67	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.38 / $30.90	Professional	26	$10.23	$17.38	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $24.55 / $39.81	Professional	TC	$21.88	$24.55	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $66.07	Professional		$30.90	$41.69	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.13 / $22.39	Professional	26	$9.77	$14.13	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.18 / $43.65	Professional	TC	$21.38	$28.18	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Professional	26	$22.91	$22.91	$22.91
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 $30.20 / $38.90 / $66.07	Professional		$30.20	$38.90	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $21.38	Professional	26	$10.00	$12.59	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.30 / $44.67	Professional	TC	$19.95	$26.30	$44.67