Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.83 / $6.84 / $11.79	Facility	26	$6.83	$6.84	$11.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $27.14 / $60.31	Professional		$26.31	$27.14	$60.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.83 / $7.33 / $14.70	Professional	26	$6.83	$7.33	$14.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $20.03 / $31.86	Professional	TC	$17.64	$20.03	$31.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $32.51 / $32.51	Professional		$24.20	$32.51	$32.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $7.83 / $14.02	Professional	26	$7.83	$7.83	$14.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $36.75 / $66.25	Professional		$30.24	$36.75	$66.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $12.00 / $25.51	Professional	26	$7.83	$12.00	$25.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.41 / $24.79 / $42.50	Professional	TC	$22.41	$24.79	$42.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $37.26 / $67.11	Professional		$26.63	$37.26	$67.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $11.21 / $19.47	Professional	26	$7.93	$11.21	$19.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $25.88 / $47.64	Professional	TC	$19.14	$25.88	$47.64
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.15 / $15.00 / $24.75	Facility	26	$12.15	$15.00	$24.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $117.10 / $117.10	Professional		$117.10	$117.10	$117.10
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $29.77 / $29.77 / $29.77	Professional	26	$29.77	$29.77	$29.77
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 $24.85 / $36.61 / $61.64	Professional		$24.85	$36.61	$61.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.61 / $17.14	Professional	26	$7.92	$10.61	$17.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.19 / $25.42 / $43.94	Professional	TC	$17.19	$25.42	$43.94