Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $8.41 / $12.06	Facility	26	$8.41	$8.41	$12.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $36.29 / $76.40	Professional		$25.45	$36.29	$76.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $8.88 / $25.72	Professional	26	$7.58	$8.88	$25.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $26.44 / $42.91	Professional	TC	$17.63	$26.44	$42.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $35.65 / $44.09	Professional		$24.63	$35.65	$44.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $8.77 / $13.50	Professional	26	$6.95	$8.77	$13.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.61 / $30.61 / $30.61	Professional	TC	$30.61	$30.61	$30.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $39.00 / $69.09	Professional		$24.75	$39.00	$69.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $20.00 / $35.17	Professional	26	$7.58	$20.00	$35.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.10 / $20.58 / $35.84	Professional	TC	$17.10	$20.58	$35.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $40.43 / $69.95	Professional		$31.02	$40.43	$69.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $11.12 / $19.39	Professional	26	$8.34	$11.12	$19.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.04 / $28.87 / $50.80	Professional	TC	$22.04	$28.87	$50.80
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $8.56 / $12.00 / $17.70	Facility	26	$8.56	$12.00	$17.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $87.82	Professional		$43.00	$43.00	$87.82
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $12.00 / $12.00	Professional	26	$12.00	$12.00	$12.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $36.91 / $57.46	Professional		$27.91	$36.91	$57.46
United Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $34.28 / $54.87	Professional		$28.03	$34.28	$54.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.33 / $13.09	Professional	26	$7.03	$8.33	$13.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $25.39 / $39.22	Professional	TC	$20.21	$25.39	$39.22