Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.70 / $17.70 / $17.70	Facility	26	$17.70	$17.70	$17.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $57.25 / $77.64	Professional		$48.09	$57.25	$77.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $18.80 / $23.58	Professional	26	$16.71	$18.80	$23.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.38 / $37.53 / $54.60	Professional	TC	$31.38	$37.53	$54.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $15.78 / $20.95	Professional	26	$15.78	$15.78	$20.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $75.06 / $168.00	Professional		$59.03	$75.06	$168.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $44.00 / $62.51	Professional	26	$19.48	$44.00	$62.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.00 / $40.65 / $119.00	Professional	TC	$31.00	$40.65	$119.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $78.97 / $137.16	Professional		$61.02	$78.97	$137.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.03 / $27.72 / $49.26	Professional	26	$21.03	$27.72	$49.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.99 / $53.27 / $92.77	Professional	TC	$39.99	$53.27	$92.77
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $32.07 / $37.85 / $67.08	Facility	26	$32.07	$37.85	$67.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.08 / $234.08 / $234.08	Professional		$234.08	$234.08	$234.08
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $77.02 / $77.02 / $77.02	Professional	26	$77.02	$77.02	$77.02
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 $57.82 / $74.30 / $121.50	Professional		$57.82	$74.30	$121.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.88 / $27.29 / $44.22	Professional	26	$19.88	$27.29	$44.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.54 / $47.82 / $77.90	Professional	TC	$37.54	$47.82	$77.90