Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.11 / $9.11 / $16.05	Facility	26	$9.11	$9.11	$16.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $46.61 / $72.01	Professional		$32.70	$46.61	$72.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $10.02 / $15.14	Professional	26	$9.11	$10.02	$15.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.65 / $57.59	Professional	TC	$23.44	$32.65	$57.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $10.79 / $11.55	Professional	26	$8.02	$10.79	$11.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $55.00 / $104.86	Professional		$36.59	$55.00	$104.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $15.61 / $31.36	Professional	26	$10.03	$15.61	$31.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.55 / $40.00 / $72.00	Professional	TC	$26.55	$40.00	$72.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $53.32 / $90.17	Professional		$40.90	$53.32	$90.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $14.70 / $25.00	Professional	26	$10.25	$14.70	$25.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.32 / $39.27 / $67.48	Professional	TC	$29.32	$39.27	$67.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $16.02 / $19.00 / $32.49	Facility	26	$16.02	$19.00	$32.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $145.91 / $145.91	Professional		$145.91	$145.91	$145.91
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $39.71 / $39.71 / $39.71	Professional	26	$39.71	$39.71	$39.71
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 $37.45 / $48.07 / $76.48	Professional		$37.45	$48.07	$76.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $13.48 / $20.66	Professional	26	$10.28	$13.48	$20.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.23 / $35.54 / $58.92	Professional	TC	$26.23	$35.54	$58.92