Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $8.32 / $12.88	Facility	26	$8.32	$8.32	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $138.04	Professional		$25.12	$42.66	$138.04
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.96 / $10.96 / $10.96	Professional	25	$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.00 / $28.84	Professional	26	$7.24	$10.00	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.12 / $44.67	Professional	TC	$16.98	$25.12	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $44.67	Professional		$21.38	$25.12	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.51 / $14.45	Professional	26	$7.24	$8.51	$14.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	TC	$36.31	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $63.10	Professional		$28.84	$38.90	$63.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $18.20 / $26.92	Professional	26	$8.51	$18.20	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $21.88 / $33.88	Professional	TC	$19.05	$21.88	$33.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $74.13	Professional		$29.51	$42.66	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.48 / $22.39	Professional	26	$8.32	$11.48	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $29.51 / $56.23	Professional	TC	$21.38	$29.51	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $48.98	Professional		$43.65	$43.65	$48.98
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $12.88 / $12.88	Professional	26	$12.88	$12.88	$12.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
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 $27.54 / $34.67 / $54.95	Professional		$27.54	$34.67	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.51 / $13.80	Professional	26	$7.08	$8.51	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.12 / $39.81	Professional	TC	$20.42	$25.12	$39.81