Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.75 / $2.75 / $3.95	Facility	26	$2.75	$2.75	$3.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $20.67 / $30.74	Professional		$14.50	$20.67	$30.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.71 / $3.88 / $6.27	Professional	26	$2.71	$3.88	$6.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.52 / $16.07 / $24.67	Professional	TC	$11.52	$16.07	$24.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.32 / $3.32 / $3.32	Professional	26	$3.32	$3.32	$3.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $23.00 / $38.22	Professional		$13.37	$23.00	$38.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.47 / $12.00 / $18.62	Professional	26	$2.47	$12.00	$18.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.90 / $12.20 / $21.69	Professional	TC	$10.90	$12.20	$21.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $26.33 / $46.05	Professional		$18.30	$26.33	$46.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.64 / $6.00 / $10.13	Professional	26	$3.64	$6.00	$10.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.00 / $20.16 / $36.60	Professional	TC	$14.00	$20.16	$36.60
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $5.51 / $7.00 / $9.57	Facility	26	$5.51	$7.00	$9.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $56.25	Professional		$29.00	$29.00	$56.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $8.00 / $8.00	Professional	26	$8.00	$8.00	$8.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $10.09 / $17.38	Professional		$1.86	$10.09	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $22.14 / $35.22	Professional		$18.12	$22.14	$35.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.66 / $5.07 / $8.18	Professional	26	$3.66	$5.07	$8.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.52 / $17.42 / $27.33	Professional	TC	$13.52	$17.42	$27.33