Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.59 / $14.13	Facility	26	$7.08	$7.59	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $75.86	Professional		$22.91	$36.31	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $23.44	Professional	26	$7.08	$10.00	$23.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $33.88 / $54.95	Professional	52	$30.20	$33.88	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $45.71	Professional	TC	$15.14	$21.88	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $46.77	Professional		$19.95	$19.95	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $74.13	Professional		$29.51	$41.69	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $16.98 / $29.51	Professional	26	$9.33	$16.98	$29.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $21.88 / $37.15	Professional	TC	$19.50	$21.88	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $67.61	Professional		$28.84	$40.74	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.59 / $20.89	Professional	26	$8.71	$12.59	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $46.77	Professional	TC	$19.05	$28.18	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	26	$21.88	$21.88	$21.88
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 $29.51 / $38.02 / $60.26	Professional		$29.51	$38.02	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.48 / $19.50	Professional	26	$9.12	$11.48	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $26.30 / $42.66	Professional	TC	$20.42	$26.30	$42.66