Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $2.75 / $4.07	Facility	26	$2.00	$2.75	$4.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $37.15	Professional		$12.88	$17.38	$37.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $6.92	Professional	26	$2.00	$3.02	$6.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $12.88 / $26.30	Professional	TC	$10.96	$12.88	$26.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.29 / $2.63 / $3.16	Professional	26	$2.29	$2.63	$3.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $35.48	Professional		$15.85	$22.91	$35.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $7.59 / $16.60	Professional	26	$2.69	$7.59	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $13.80 / $19.95	Professional	TC	$10.96	$13.80	$19.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.65 / $3.02 / $4.37	Facility	26	$0.65	$3.02	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $52.48	Professional		$17.78	$26.92	$52.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $6.03 / $11.48	Professional	26	$3.55	$6.03	$11.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $20.42 / $41.69	Professional	TC	$13.80	$20.42	$41.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $32.36	Professional		$29.51	$29.51	$32.36
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.32 / $8.51	Professional	26	$8.32	$8.32	$8.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
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 $17.38 / $22.91 / $36.31	Professional		$17.38	$22.91	$36.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $5.13 / $8.13	Professional	26	$3.55	$5.13	$8.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $17.38 / $27.54	Professional	TC	$13.49	$17.38	$27.54