Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $30.90 / $37.15	Facility	26	$24.55	$30.90	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $194.98	Professional		$72.44	$95.50	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $36.31 / $104.71	Professional	26	$21.88	$36.31	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $67.61 / $107.15	Professional	TC	$51.29	$67.61	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.84 / $47.86	Professional	26	$21.38	$28.84	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $144.54	Professional		$83.18	$95.50	$144.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $34.67 / $53.70	Professional	26	$28.18	$34.67	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $66.07 / $91.20	Professional	TC	$48.98	$66.07	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $165.96	Professional		$74.13	$104.71	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.11 / $47.86	Professional	26	$23.44	$33.11	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $72.44 / $114.82	Professional	TC	$47.86	$72.44	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	26	$43.65	$43.65	$43.65
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 $74.13 / $97.72 / $181.97	Professional		$74.13	$97.72	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $31.62 / $54.95	Professional	26	$21.38	$31.62	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $67.61 / $125.89	Professional	TC	$52.48	$67.61	$125.89