Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.57 / $10.57 / $18.60	Facility	26	$10.57	$10.57	$18.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $41.56 / $83.57	Professional		$38.35	$41.56	$83.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $11.24 / $22.21	Professional	26	$10.57	$11.24	$22.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.76 / $29.52 / $59.40	Professional	TC	$25.76	$29.52	$59.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $11.63 / $12.50	Professional	26	$9.30	$11.63	$12.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $54.61 / $102.90	Professional		$42.01	$54.61	$102.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $28.50 / $39.39	Professional	26	$11.63	$28.50	$39.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $31.65 / $67.09	Professional	TC	$24.50	$31.65	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $53.80 / $96.51	Professional		$40.01	$53.80	$96.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $17.00 / $29.72	Professional	26	$11.88	$17.00	$29.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.49 / $37.11 / $66.79	Professional	TC	$27.49	$37.11	$66.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $18.38 / $22.00 / $37.83	Facility	26	$18.38	$22.00	$37.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.94 / $169.94 / $169.94	Professional		$169.94	$169.94	$169.94
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $45.96 / $45.96 / $45.96	Professional	26	$45.96	$45.96	$45.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $53.37 / $88.97	Professional		$36.60	$53.37	$88.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $16.02 / $26.05	Professional	26	$11.96	$16.02	$26.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.61 / $35.61 / $61.57	Professional	TC	$24.61	$35.61	$61.57