Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.36 / $7.36 / $10.88	Facility	26	$7.36	$7.36	$10.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $40.88 / $154.00	Professional		$24.83	$40.88	$154.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $10.54 / $41.42	Professional	26	$6.68	$10.54	$41.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.57 / $42.49	Professional	TC	$17.78	$22.57	$42.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $39.83 / $39.83	Professional		$12.00	$39.83	$39.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.23 / $11.80	Professional	26	$7.08	$9.23	$11.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $21.91 / $21.91	Professional	TC	$21.91	$21.91	$21.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $66.00 / $105.84	Professional		$22.25	$66.00	$105.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $17.00 / $26.05	Professional	26	$6.59	$17.00	$26.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.65 / $49.00 / $81.61	Professional	TC	$15.65	$49.00	$81.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $44.65 / $66.00	Professional		$27.87	$44.65	$66.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.78 / $16.45	Professional	26	$7.95	$9.78	$16.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.12 / $31.97 / $50.39	Professional	TC	$20.12	$31.97	$50.39
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $14.00 / $19.20	Facility	26	$8.61	$14.00	$19.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $91.04 / $91.04	Professional		$91.04	$91.04	$91.04
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $64.98 / $64.98 / $64.98	Professional	TC	$64.98	$64.98	$64.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $35.94 / $54.24	Professional		$25.98	$35.94	$54.24
United Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $33.78 / $61.99	Professional		$23.40	$33.78	$61.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $8.72 / $13.56	Professional	26	$6.59	$8.72	$13.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $24.92 / $51.76	Professional	TC	$16.96	$24.92	$51.76