Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $12.80 / $22.56	Facility	26	$10.72	$12.80	$22.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $34.44 / $64.54	Professional		$17.14	$34.44	$64.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $13.06 / $46.00	Professional	26	$7.48	$13.06	$46.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $21.42 / $26.95	Professional	TC	$10.11	$21.42	$26.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.44 / $14.94 / $25.24	Professional	26	$11.44	$14.94	$25.24
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.69 / $34.69 / $34.69	Professional	TC	$34.69	$34.69	$34.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $38.88 / $53.17	Professional		$30.00	$38.88	$53.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $14.10 / $21.15	Professional	26	$9.00	$14.10	$21.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.00 / $23.30 / $32.21	Professional	TC	$14.00	$23.30	$32.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $32.00 / $69.48	Professional		$19.16	$32.00	$69.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $12.72 / $27.57	Professional	26	$8.30	$12.72	$27.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.60 / $20.03 / $44.09	Professional	TC	$10.60	$20.03	$44.09
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $11.76 / $14.00 / $27.76	Facility	26	$11.76	$14.00	$27.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $145.43 / $145.43	Professional		$145.43	$145.43	$145.43
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $55.75 / $55.75 / $55.75	Professional	26	$55.75	$55.75	$55.75
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 $17.30 / $41.49 / $70.29	Professional		$17.30	$41.49	$70.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $15.43 / $27.13	Professional	26	$7.58	$15.43	$27.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.93 / $25.24 / $49.37	Professional	TC	$8.93	$25.24	$49.37