Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.66 / $7.67 / $11.40	Facility	26	$7.66	$7.67	$11.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $34.52 / $56.48	Professional		$23.42	$34.52	$56.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.44 / $13.95	Professional	26	$7.67	$9.44	$13.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.25 / $11.71 / $14.36	Professional	52	$9.25	$11.71	$14.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.45 / $22.81 / $38.97	Professional	TC	$15.45	$22.81	$38.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $46.79 / $46.79	Professional		$26.14	$46.79	$46.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $43.00 / $75.44	Professional		$26.14	$43.00	$75.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $22.50 / $30.35	Professional	26	$8.44	$22.50	$30.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $22.11 / $42.86	Professional	TC	$17.69	$22.11	$42.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $40.59 / $68.59	Professional		$27.33	$40.59	$68.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $13.10 / $21.72	Professional	26	$9.41	$13.10	$21.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.66 / $29.28 / $47.63	Professional	TC	$21.66	$29.28	$47.63
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.21 / $18.00 / $30.33	Facility	26	$15.21	$18.00	$30.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $101.83 / $101.83	Professional		$101.83	$101.83	$101.83
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $33.40 / $33.40	Professional	26	$33.40	$33.40	$33.40
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 $29.60 / $38.11 / $60.59	Professional		$29.60	$38.11	$60.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $13.23 / $27.21	Professional	26	$9.25	$13.23	$27.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.28 / $26.42 / $41.57	Professional	TC	$20.28	$26.42	$41.57