Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.26 / $8.26 / $23.01	Facility	26	$8.26	$8.26	$23.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $26.15 / $43.54	Professional		$23.24	$26.15	$43.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $8.48 / $14.28	Professional	26	$8.26	$8.48	$14.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.45 / $17.36 / $29.71	Professional	TC	$15.45	$17.36	$29.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $31.01 / $31.01	Professional		$31.01	$31.01	$31.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $48.00 / $64.75	Professional		$28.85	$48.00	$64.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $15.00 / $20.02	Professional	26	$8.80	$15.00	$20.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $33.00 / $44.51	Professional	TC	$20.05	$33.00	$44.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $40.75 / $75.02	Professional		$28.54	$40.75	$75.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $13.30 / $24.19	Professional	26	$9.78	$13.30	$24.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $27.31 / $50.83	Professional	TC	$17.91	$27.31	$50.83
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.29 / $17.75 / $31.50	Facility	26	$15.29	$17.75	$31.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $33.83 / $110.29	Professional		$33.83	$33.83	$110.29
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $35.95 / $35.95	Professional	26	$35.95	$35.95	$35.95
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 $23.12 / $37.10 / $58.78	Professional		$23.12	$37.10	$58.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $12.57 / $29.31	Professional	26	$8.14	$12.57	$29.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.53 / $24.88 / $41.46	Professional	TC	$15.53	$24.88	$41.46