Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $11.79	Facility	26	$7.08	$7.08	$11.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $34.76 / $69.79	Professional		$30.51	$34.76	$69.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.25 / $13.78	Professional	26	$7.08	$8.25	$13.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.55 / $144.55 / $155.75	Professional	50	$144.55	$144.55	$155.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $25.93 / $43.82	Professional	TC	$22.26	$25.93	$43.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $38.52 / $50.16	Professional		$29.57	$38.52	$50.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $7.80 / $13.96	Professional	26	$6.34	$7.80	$13.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.22 / $39.22 / $39.22	Professional	TC	$39.22	$39.22	$39.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $39.60 / $59.86	Professional		$33.00	$39.60	$59.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $17.00 / $24.15	Professional	26	$7.80	$17.00	$24.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $28.02 / $38.32	Professional	TC	$16.00	$28.02	$38.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $41.41 / $80.62	Professional		$27.22	$41.41	$80.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $11.59 / $19.39	Professional	26	$7.93	$11.59	$19.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $29.90 / $61.64	Professional	TC	$18.80	$29.90	$61.64
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.89 / $15.00 / $26.24	Facility	26	$12.89	$15.00	$26.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $144.18 / $144.18	Professional		$144.18	$144.18	$144.18
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $216.27 / $216.27 / $216.27	Professional	50	$216.27	$216.27	$216.27
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $113.31 / $113.31 / $113.31	Professional	TC	$113.31	$113.31	$113.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $39.72 / $71.95	Professional		$27.42	$39.72	$71.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $10.78 / $24.05	Professional	26	$8.24	$10.78	$24.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $32.86 / $58.28	Professional	TC	$20.20	$32.86	$58.28