Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.37 / $7.38 / $13.00	Facility	26	$7.37	$7.38	$13.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $27.41 / $63.00	Professional		$19.00	$27.41	$63.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $7.95 / $21.17	Professional	26	$7.37	$7.95	$21.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.00 / $19.46 / $30.55	Professional	TC	$12.00	$19.46	$30.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $23.31 / $38.81	Professional		$17.84	$23.31	$38.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $8.13 / $14.55	Professional	26	$6.50	$8.13	$14.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $35.00 / $64.68	Professional		$21.68	$35.00	$64.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $19.00 / $26.04	Professional	26	$8.13	$19.00	$26.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.55 / $17.30 / $40.00	Professional	TC	$13.55	$17.30	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $34.47 / $58.27	Professional		$26.05	$34.47	$58.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $11.93 / $20.20	Professional	26	$8.19	$11.93	$20.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.50 / $23.05 / $36.29	Professional	TC	$17.50	$23.05	$36.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.63 / $15.00 / $26.37	Facility	26	$12.63	$15.00	$26.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $85.19 / $85.19	Professional		$85.19	$85.19	$85.19
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $32.15 / $32.15	Professional	26	$32.15	$32.15	$32.15
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $127.79 / $127.79 / $127.79	Professional	50	$127.79	$127.79	$127.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.60 / $51.41	Professional		$25.48	$34.60	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $32.38 / $53.49	Professional		$24.97	$32.38	$53.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $11.23 / $17.45	Professional	26	$7.92	$11.23	$17.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.89 / $21.15 / $35.10	Professional	TC	$16.89	$21.15	$35.10