Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.27 / $10.27 / $10.27	Facility	26	$10.27	$10.27	$10.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $39.75 / $74.89	Professional		$34.59	$39.75	$74.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $10.89 / $22.08	Professional	26	$9.75	$10.89	$22.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $28.17 / $46.19	Professional	TC	$23.17	$28.17	$46.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $57.59 / $67.75	Professional		$40.69	$57.59	$67.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $13.47 / $20.23	Professional	26	$9.16	$13.47	$20.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $46.77 / $84.76	Professional		$37.85	$46.77	$84.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $27.50 / $36.06	Professional	26	$11.30	$27.50	$36.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.50 / $26.55 / $45.77	Professional	TC	$16.50	$26.55	$45.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $48.08 / $85.39	Professional		$35.39	$48.08	$85.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $14.42 / $28.17	Professional	26	$10.49	$14.42	$28.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $34.61 / $60.62	Professional	TC	$25.29	$34.61	$60.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $16.39 / $18.00 / $32.00	Facility	26	$16.39	$18.00	$32.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $150.91 / $150.91	Professional		$150.91	$150.91	$150.91
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $44.71 / $44.71 / $44.71	Professional	26	$44.71	$44.71	$44.71
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 $34.02 / $47.44 / $78.52	Professional		$34.02	$47.44	$78.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $14.94 / $23.26	Professional	26	$9.94	$14.94	$23.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $33.51 / $53.49	Professional	TC	$23.82	$33.51	$53.49