Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	26	$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $91.20	Professional		$33.88	$50.12	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $37.15	Professional	26	$18.20	$20.89	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	26	$21.88	$21.88	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $66.07	Professional		$42.66	$50.12	$66.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $41.69	Professional	26	$19.95	$28.18	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $107.15	Professional		$36.31	$50.12	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.18 / $42.66	Professional	26	$22.39	$28.18	$42.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $54.95	Professional		$46.77	$46.77	$54.95
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $36.31	Professional	26	$32.36	$32.36	$36.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
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 Professional Modifier Low / Median / High Price $32.36 / $39.81 / $66.07	Professional		$32.36	$39.81	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $36.31	Professional	26	$17.78	$22.91	$36.31