Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.71 / $9.71 / $9.71	Facility	26	$9.71	$9.71	$9.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $45.07 / $69.75	Professional		$39.07	$45.07	$69.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $10.61 / $17.48	Professional	26	$9.52	$10.61	$17.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.91 / $33.65 / $54.36	Professional	TC	$29.91	$33.65	$54.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $8.65 / $10.69	Professional	26	$8.65	$8.65	$10.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $54.00 / $119.00	Professional		$27.00	$54.00	$119.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $13.90 / $33.76	Professional	26	$10.69	$13.90	$33.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.88 / $41.47 / $114.99	Professional	TC	$36.88	$41.47	$114.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $58.74 / $108.15	Professional		$43.18	$58.74	$108.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.92 / $15.90 / $27.36	Professional	26	$10.92	$15.90	$27.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $43.75 / $80.79	Professional	TC	$31.59	$43.75	$80.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $21.00 / $35.67	Facility	26	$17.32	$21.00	$35.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.03 / $191.03 / $191.03	Professional		$191.03	$191.03	$191.03
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $42.25 / $42.25	Professional	26	$42.25	$42.25	$42.25
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 $40.29 / $58.76 / $97.90	Professional		$40.29	$58.76	$97.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.29 / $14.75 / $24.00	Professional	26	$11.29	$14.75	$24.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.07 / $43.48 / $74.47	Professional	TC	$29.07	$43.48	$74.47