Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.15 / $9.15 / $16.11	Facility	26	$9.15	$9.15	$16.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $34.92 / $84.30	Professional		$31.42	$34.92	$84.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $9.55 / $21.75	Professional	26	$8.22	$9.55	$21.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.50 / $24.53 / $43.20	Professional	TC	$21.50	$24.53	$43.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $38.09 / $44.00	Professional		$29.18	$38.09	$44.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $10.83 / $18.03	Professional	26	$8.05	$10.83	$18.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.19 / $45.41 / $45.41	Professional	TC	$30.19	$45.41	$45.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $42.66 / $72.93	Professional		$35.43	$42.66	$72.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $23.00 / $30.16	Professional	26	$10.07	$23.00	$30.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $25.50 / $41.62	Professional	TC	$18.00	$25.50	$41.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $43.34 / $79.64	Professional		$31.58	$43.34	$79.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $13.00 / $25.25	Professional	26	$9.39	$13.00	$25.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.89 / $30.59 / $54.27	Professional	TC	$22.89	$30.59	$54.27
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $13.85 / $16.00 / $28.64	Facility	26	$13.85	$16.00	$28.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $140.10 / $140.10	Professional		$140.10	$140.10	$140.10
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $39.78 / $39.78 / $39.78	Professional	26	$39.78	$39.78	$39.78
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 $29.93 / $44.49 / $72.92	Professional		$29.93	$44.49	$72.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $13.13 / $22.08	Professional	26	$8.93	$13.13	$22.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $30.63 / $50.75	Professional	TC	$21.00	$30.63	$50.75