Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.28 / $12.28 / $34.54	Facility	26	$12.28	$12.28	$34.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $49.74 / $78.77	Professional		$42.17	$49.74	$78.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $13.07 / $18.72	Professional	26	$11.73	$13.07	$18.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $36.86 / $60.05	Professional	TC	$29.66	$36.86	$60.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $40.03 / $40.03	Professional		$40.03	$40.03	$40.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $179.00 / $259.12	Professional		$48.59	$179.00	$259.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $24.00 / $32.50	Professional	26	$13.22	$24.00	$32.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.38 / $155.00 / $224.38	Professional	TC	$35.38	$155.00	$224.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $66.16 / $112.28	Professional		$53.45	$66.16	$112.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $19.14 / $33.00	Professional	26	$15.39	$19.14	$33.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.00 / $47.15 / $79.69	Professional	TC	$38.00	$47.15	$79.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.17 / $22.48 / $44.97	Facility	26	$19.17	$22.48	$44.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $180.95 / $180.95	Professional		$180.95	$180.95	$180.95
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $127.51 / $127.51 / $127.51	Professional	TC	$127.51	$127.51	$127.51
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 $41.68 / $62.38 / $103.52	Professional		$41.68	$62.38	$103.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.99 / $18.20 / $28.81	Professional	26	$11.99	$18.20	$28.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.01 / $43.43 / $73.12	Professional	TC	$30.01	$43.43	$73.12