Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $112.20	Professional		$50.12	$63.10	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $53.70	Professional	26	$16.98	$20.89	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $43.65 / $67.61	Professional	TC	$33.11	$43.65	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.50 / $19.50	Professional	26	$19.50	$19.50	$19.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $147.91	Professional		$63.10	$75.86	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.11 / $63.10	Professional	26	$20.89	$33.11	$63.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $95.50	Professional	TC	$30.90	$43.65	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $125.89	Professional		$58.88	$79.43	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $44.67	Professional	26	$19.95	$26.92	$44.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $52.48 / $81.28	Professional	TC	$38.02	$52.48	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Professional	26	$42.66	$42.66	$42.66
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 $58.88 / $70.79 / $123.03	Professional		$58.88	$70.79	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $24.55 / $43.65	Professional	26	$19.95	$24.55	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $45.71 / $79.43	Professional	TC	$37.15	$45.71	$79.43