Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $9.12 / $16.60	Facility	26	$8.91	$9.12	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $89.13	Professional		$33.11	$43.65	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $26.92	Professional	26	$8.91	$12.02	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $61.66	Professional	TC	$22.91	$31.62	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $56.23	Professional		$25.12	$32.36	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.22 / $17.38	Professional	26	$8.32	$11.22	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $23.99 / $30.20	Professional	TC	$21.88	$23.99	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $95.50	Professional		$40.74	$54.95	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.14 / $26.92	Professional	26	$10.72	$15.14	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $39.81 / $72.44	Professional	TC	$28.84	$39.81	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $87.10	Professional		$38.90	$50.12	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.13 / $22.91	Professional	26	$10.23	$14.13	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $37.15 / $63.10	Professional	TC	$27.54	$37.15	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	26	$23.44	$23.44	$23.44
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 $37.15 / $46.77 / $81.28	Professional		$37.15	$46.77	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.88 / $21.88	Professional	26	$10.23	$12.88	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $33.88 / $60.26	Professional	TC	$26.30	$33.88	$60.26