Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.73 / $27.74 / $49.42	Facility	26	$27.73	$27.74	$49.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $62.40 / $107.72	Professional		$54.19	$62.40	$107.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $36.06 / $338.30	Professional	26	$27.07	$36.06	$338.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.46 / $34.71 / $63.06	Professional	TC	$26.46	$34.71	$63.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $65.88 / $79.67	Professional		$50.27	$65.88	$79.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.71 / $43.25 / $55.30	Professional	26	$24.71	$43.25	$55.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $90.00 / $163.00	Professional		$63.12	$90.00	$163.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.89 / $51.00 / $86.25	Professional	26	$30.89	$51.00	$86.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.30 / $37.56 / $94.00	Professional	TC	$31.30	$37.56	$94.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $92.00 / $133.41	Professional		$68.33	$92.00	$133.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.73 / $43.00 / $62.51	Professional	26	$30.73	$43.00	$62.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.82 / $45.46 / $76.00	Professional	TC	$34.82	$45.46	$76.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $44.82 / $52.00 / $96.35	Facility	26	$44.82	$52.00	$96.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $51.84	Professional		$51.84	$51.84	$51.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $51.99 / $87.20	Professional		$28.98	$51.99	$87.20
United Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $91.20 / $131.33	Professional		$62.53	$91.20	$131.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $40.40 / $67.05	Professional	26	$28.52	$40.40	$67.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.99 / $45.62 / $68.23	Professional	TC	$30.99	$45.62	$68.23