Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $28.84 / $72.44	Facility	26	$21.88	$28.84	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $181.97	Professional		$72.44	$100.00	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.90 / $89.13	Professional	26	$21.88	$30.90	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $72.44 / $125.89	Professional	TC	$51.29	$72.44	$125.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $27.54 / $28.18	Professional	26	$20.42	$27.54	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $213.80	Professional		$91.20	$104.71	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $50.12 / $83.18	Professional	26	$26.30	$50.12	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $69.18 / $151.36	Professional	TC	$33.88	$69.18	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $186.21	Professional		$83.18	$114.82	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $52.48	Professional	26	$25.12	$33.11	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $81.28 / $131.83	Professional	TC	$57.54	$81.28	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Professional	26	$50.12	$50.12	$50.12
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 $83.18 / $107.15 / $181.97	Professional		$83.18	$107.15	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $53.70	Professional	26	$23.99	$30.90	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $74.13 / $128.82	Professional	TC	$57.54	$74.13	$128.82