Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $12.88 / $22.91	Facility	26	$10.72	$12.88	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $34.67 / $74.13	Professional		$15.85	$34.67	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.60 / $45.71	Professional	26	$8.91	$16.60	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $20.89 / $39.81	Professional	TC	$10.00	$20.89	$39.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.45 / $25.12	Professional	26	$11.48	$14.45	$25.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	TC	$36.31	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $56.23	Professional		$29.51	$41.69	$56.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $21.38	Professional	26	$8.91	$14.79	$21.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.30 / $36.31	Professional	TC	$16.22	$26.30	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $61.66	Professional		$19.50	$32.36	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.59 / $22.39	Professional	26	$8.32	$12.59	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $19.05 / $38.90	Professional	TC	$10.72	$19.05	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.14	Professional	26	$15.14	$15.14	$15.14
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 $17.38 / $36.31 / $67.61	Professional		$17.38	$36.31	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $14.45 / $26.30	Professional	26	$7.59	$14.45	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $21.88 / $42.66	Professional	TC	$9.55	$21.88	$42.66