Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $8.91 / $120.23	Facility		$7.76	$8.91	$120.23
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 Professional Modifier Low / Median / High Price $9.12 / $14.45 / $33.88	Professional		$9.12	$14.45	$33.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.32 / $17.78	Professional	26	$6.03	$8.32	$17.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.89 / $7.41	Professional	TC	$2.00	$3.89	$7.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.22 / $18.62	Professional		$8.51	$11.22	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.02 / $3.02	Professional	TC	$3.02	$3.02	$3.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $52.48 / $89.13	Facility		$27.54	$52.48	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $20.89	Professional		$11.22	$14.13	$20.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $16.60	Professional	26	$7.76	$11.22	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.51 / $3.72 / $5.13	Professional	TC	$2.51	$3.72	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $22.39 / $123.03	Facility		$3.55	$22.39	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $25.70	Professional		$11.22	$15.85	$25.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $17.38	Professional	26	$7.24	$11.22	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.19 / $4.68 / $8.51	Professional	TC	$2.19	$4.68	$8.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.85 / $28.84	Facility		$10.00	$15.85	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $120.23 / $186.21	Facility		$24.55	$120.23	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $21.88	Professional		$10.47	$13.18	$21.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $15.49	Professional	26	$7.08	$9.12	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.95 / $3.98 / $6.31	Professional	TC	$2.95	$3.98	$6.31