Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $512.86 / $977.24	Facility		$60.26	$512.86	$977.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $15.14 / $21.38	Facility	26	$11.75	$15.14	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $79.43	Professional		$26.92	$37.15	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $74.13	Professional	26	$10.96	$18.62	$74.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.39 / $43.65	Professional	TC	$16.98	$22.39	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.84 / $38.02	Professional		$27.54	$28.84	$38.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.80 / $22.91	Professional	26	$10.47	$13.80	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $234.42	Facility		$75.86	$75.86	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $54.95	Professional		$36.31	$40.74	$54.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.05 / $28.18	Professional	26	$13.80	$19.05	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $24.55 / $34.67	Professional	TC	$16.98	$24.55	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $128.82 / $128.82	Facility		$74.13	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $69.18	Professional		$29.51	$41.69	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.62 / $29.51	Professional	26	$13.18	$18.62	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $40.74	Professional	TC	$16.22	$22.91	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $45.71 / $77.62	Facility		$32.36	$45.71	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $61.66	Professional		$28.84	$37.15	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.49 / $26.92	Professional	26	$12.30	$15.49	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.38 / $35.48	Professional	TC	$15.85	$21.38	$35.48