Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.63 / $18.63 / $18.63	Facility	26	$18.63	$18.63	$18.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $49.66 / $84.48	Professional		$36.57	$49.66	$84.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $18.63 / $32.61	Professional	26	$16.55	$18.63	$32.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $28.05 / $43.00	Professional	TC	$15.33	$28.05	$43.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $66.56 / $77.88	Professional		$54.39	$66.56	$77.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $29.30 / $29.30	Professional	26	$24.50	$29.30	$29.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $48.00 / $69.48	Professional		$43.51	$48.00	$69.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.37 / $29.00 / $41.54	Professional	26	$16.37	$29.00	$41.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.00 / $24.37 / $37.11	Professional	TC	$19.00	$24.37	$37.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $50.14 / $113.45	Professional		$40.06	$50.14	$113.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $27.73 / $42.11	Professional	26	$20.53	$27.73	$42.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.69 / $23.33 / $70.53	Professional	TC	$15.69	$23.33	$70.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.74 / $28.02 / $35.02	Facility	26	$23.74	$28.02	$35.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $34.78 / $34.78	Professional		$34.78	$34.78	$34.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $37.00 / $57.58	Professional		$28.75	$37.00	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $40.97 / $66.78	Professional		$32.95	$40.97	$66.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.69 / $21.62 / $33.93	Professional	26	$15.69	$21.62	$33.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.47 / $21.17 / $38.02	Professional	TC	$13.47	$21.17	$38.02