Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $6.03 / $6.03	Facility	26	$6.03	$6.03	$6.03
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $66.07 / $79.43	Facility	TC	$16.98	$66.07	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $70.79	Professional		$18.20	$26.30	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $28.84	Professional	26	$6.03	$8.91	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.05 / $35.48	Professional	TC	$15.14	$19.05	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.39 / $25.70	Professional		$21.38	$22.39	$25.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $7.76 / $13.49	Professional	26	$6.31	$7.76	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	TC	$17.78	$17.78	$17.78
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $91.20 / $91.20 / $123.03	Facility	TC	$91.20	$91.20	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $63.10	Professional		$28.84	$37.15	$63.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $15.85 / $26.92	Professional	26	$8.13	$15.85	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $20.89 / $33.88	Professional	TC	$16.98	$20.89	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $51.29	Professional		$25.70	$33.11	$51.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.23 / $16.60	Professional	26	$7.59	$10.23	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.44 / $34.67	Professional	TC	$18.20	$23.44	$34.67
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 $24.55 / $32.36 / $53.70	Professional		$24.55	$32.36	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.77 / $16.22	Professional	26	$7.76	$9.77	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.39 / $38.90	Professional	TC	$16.60	$22.39	$38.90