Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.66 / $12.66 / $18.12	Facility	26	$12.66	$12.66	$18.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $39.61 / $64.95	Professional		$36.54	$39.61	$64.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $12.36 / $17.77	Professional	26	$10.99	$12.36	$17.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $26.94 / $48.42	Professional	TC	$24.95	$26.94	$48.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $44.19 / $71.15	Professional		$39.95	$44.19	$71.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $24.00 / $34.40	Professional	26	$11.33	$24.00	$34.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $28.62 / $39.29	Professional	TC	$16.00	$28.62	$39.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.91 / $13.91 / $13.91	Facility	26	$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $52.21 / $86.62	Professional		$41.25	$52.21	$86.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $16.30 / $27.70	Professional	26	$12.87	$16.30	$27.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.11 / $35.71 / $58.92	Professional	TC	$28.11	$35.71	$58.92
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.21 / $21.93 / $32.39	Facility	26	$14.21	$21.93	$32.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $46.69 / $100.18	Professional		$42.50	$46.69	$100.18
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $32.51 / $32.51 / $32.51	Professional	TC	$32.51	$32.51	$32.51
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 $33.35 / $41.44 / $65.70	Professional		$33.35	$41.44	$65.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $12.91 / $22.19	Professional	26	$10.65	$12.91	$22.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $28.51 / $45.74	Professional	TC	$23.38	$28.51	$45.74