Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $35.48 / $51.29	Facility	26	$26.92	$35.48	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $758.58	Professional		$53.70	$102.33	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $162.18 / $630.96	Professional	26	$30.90	$162.18	$630.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $34.67 / $61.66	Professional	TC	$25.70	$34.67	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $91.20	Professional		$50.12	$53.70	$91.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $46.77	Professional	26	$25.12	$33.11	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $162.18	Professional		$66.07	$89.13	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $45.71 / $69.18	Professional	26	$33.11	$45.71	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $34.67 / $81.28	Professional	TC	$33.11	$34.67	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $134.90	Professional		$67.61	$93.33	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $44.67 / $60.26	Professional	26	$33.11	$44.67	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $48.98 / $70.79	Professional	TC	$34.67	$48.98	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	26	$60.26	$60.26	$60.26
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 $63.10 / $77.62 / $125.89	Professional		$63.10	$77.62	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $37.15 / $61.66	Professional	26	$28.84	$37.15	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.02 / $67.61	Professional	TC	$30.90	$38.02	$67.61