Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.92 / $13.92 / $13.92	Facility	26	$13.92	$13.92	$13.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $41.10 / $81.50	Professional		$35.04	$41.10	$81.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $14.72 / $25.18	Professional	26	$13.15	$14.72	$25.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $25.66 / $41.09	Professional	TC	$19.93	$25.66	$41.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Professional		$74.98	$74.98	$74.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $71.00 / $95.12	Professional		$41.89	$71.00	$95.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.00 / $16.67 / $26.37	Professional	26	$15.00	$16.67	$26.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.55 / $53.41 / $72.72	Professional	TC	$26.55	$53.41	$72.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $55.22 / $96.81	Professional		$40.45	$55.22	$96.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.03 / $20.01 / $38.11	Professional	26	$14.03	$20.01	$38.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.05 / $37.11 / $63.49	Professional	TC	$23.05	$37.11	$63.49
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $22.97 / $29.76 / $50.59	Facility	26	$22.97	$29.76	$50.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.07 / $168.07 / $168.07	Professional		$168.07	$168.07	$168.07
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $107.42 / $107.42 / $107.42	Professional	TC	$107.42	$107.42	$107.42
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 $36.75 / $53.79 / $89.26	Professional		$36.75	$53.79	$89.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.15 / $21.14 / $32.00	Professional	26	$14.15	$21.14	$32.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.24 / $32.45 / $54.87	Professional	TC	$22.24	$32.45	$54.87