Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.11 / $7.11 / $11.79	Facility	26	$7.11	$7.11	$11.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $33.26 / $67.88	Professional		$29.89	$33.26	$67.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $7.57 / $19.68	Professional	26	$7.11	$7.57	$19.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $25.57 / $44.40	Professional	TC	$21.83	$25.57	$44.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $7.83 / $14.02	Professional	26	$6.35	$7.83	$14.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $38.43 / $73.18	Professional		$33.79	$38.43	$73.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $20.50 / $26.88	Professional	26	$7.83	$20.50	$26.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $25.96 / $46.00	Professional	TC	$14.50	$25.96	$46.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $39.94 / $75.95	Professional		$28.10	$39.94	$75.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $11.44 / $19.47	Professional	26	$7.93	$11.44	$19.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.18 / $28.86 / $56.48	Professional	TC	$20.18	$28.86	$56.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.29 / $15.00 / $25.08	Facility	26	$12.29	$15.00	$25.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $136.01 / $136.01	Professional		$136.01	$136.01	$136.01
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $30.95 / $30.95	Professional	26	$30.95	$30.95	$30.95
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 $27.37 / $40.50 / $69.54	Professional		$27.37	$40.50	$69.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $10.82 / $16.73	Professional	26	$7.93	$10.82	$16.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $28.35 / $51.52	Professional	TC	$19.93	$28.35	$51.52