Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $11.48 / $16.22	Facility	26	$9.12	$11.48	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $125.89	Professional		$31.62	$45.71	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.85 / $27.54	Professional	26	$8.91	$15.85	$27.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $58.88	Professional	TC	$21.88	$30.20	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $66.07	Professional		$29.51	$36.31	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $18.62	Professional	26	$7.94	$10.00	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $27.54 / $47.86	Professional	TC	$22.39	$27.54	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $74.13	Professional		$37.15	$41.69	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.38 / $28.84	Professional	26	$10.47	$17.38	$28.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $27.54 / $38.90	Professional	TC	$18.20	$27.54	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $66.07	Professional		$31.62	$42.66	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.88 / $18.62	Professional	26	$9.33	$12.88	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $29.51 / $46.77	Professional	TC	$22.39	$29.51	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	26	$17.78	$17.78	$17.78
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 / $39.81 / $70.79	Professional		$30.20	$39.81	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $21.38	Professional	26	$8.91	$12.02	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $50.12	Professional	TC	$20.89	$28.18	$50.12