Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.81 / $14.81 / $19.11	Facility	26	$14.81	$14.81	$19.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $41.57 / $75.48	Professional		$35.77	$41.57	$75.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.13 / $14.81 / $34.00	Professional	26	$13.13	$14.81	$34.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $23.65 / $37.97	Professional	TC	$22.09	$23.65	$37.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $49.50 / $63.29	Professional		$33.04	$49.50	$63.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $14.67 / $26.60	Professional	26	$14.23	$14.67	$26.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $46.00 / $74.09	Professional		$35.54	$46.00	$74.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $24.00 / $36.78	Professional	26	$13.24	$24.00	$36.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $23.23 / $38.68	Professional	TC	$22.00	$23.23	$38.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $48.75 / $82.42	Professional		$36.69	$48.75	$82.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.57 / $19.61 / $32.09	Professional	26	$14.57	$19.61	$32.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.79 / $27.96 / $50.69	Professional	TC	$20.79	$27.96	$50.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.52 / $22.00 / $25.74	Facility	26	$15.52	$22.00	$25.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $48.00 / $95.24	Professional		$34.00	$48.00	$95.24
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $22.00 / $22.00 / $22.00	Professional	26	$22.00	$22.00	$22.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $37.00 / $57.46	Professional		$27.91	$37.00	$57.46
United Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $37.54 / $59.46	Professional		$30.88	$37.54	$59.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.43 / $14.71 / $24.63	Professional	26	$12.43	$14.71	$24.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.44 / $22.88 / $34.77	Professional	TC	$18.44	$22.88	$34.77