Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $30.20 / $38.02	Facility	26	$22.91	$30.20	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $204.17	Professional		$85.11	$117.49	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $27.54 / $61.66	Professional	26	$21.88	$27.54	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $91.20 / $154.88	Professional	TC	$66.07	$91.20	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	26	$30.20	$30.20	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $194.98	Professional		$120.23	$134.90	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.90 / $60.26	Professional	26	$28.84	$38.90	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $102.33 / $141.25	Professional	TC	$83.18	$102.33	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $208.93	Professional		$97.72	$134.90	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $36.31 / $56.23	Professional	26	$25.70	$36.31	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $95.50 / $162.18	Professional	TC	$70.79	$95.50	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	26	$54.95	$54.95	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $223.87	Professional		$85.11	$125.89	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $31.62 / $56.23	Professional	26	$25.70	$31.62	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $95.50 / $169.82	Professional	TC	$61.66	$95.50	$169.82