Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.59 / $38.59 / $38.59	Facility	26	$38.59	$38.59	$38.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $55.57 / $85.84	Professional		$53.80	$55.57	$85.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $38.85 / $56.03	Professional	26	$37.99	$38.85	$56.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.21 / $17.57 / $28.80	Professional	TC	$15.21	$17.57	$28.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.20 / $63.20 / $63.20	Professional	26	$63.20	$63.20	$63.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $116.00 / $173.39	Professional		$62.28	$116.00	$173.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.37 / $84.00 / $111.65	Professional	26	$43.37	$84.00	$111.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.10 / $46.26 / $72.31	Professional	TC	$17.10	$46.26	$72.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $84.85 / $122.28	Professional		$60.59	$84.85	$122.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $59.90 / $87.62	Professional	26	$43.40	$59.90	$87.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.44 / $23.57 / $35.25	Professional	TC	$18.44	$23.57	$35.25
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $73.00 / $135.63	Facility	26	$60.00	$73.00	$135.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $29.45 / $29.45	Professional		$29.45	$29.45	$29.45
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 $56.14 / $79.01 / $130.15	Professional		$56.14	$79.01	$130.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.57 / $60.34 / $94.37	Professional	26	$41.57	$60.34	$94.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $24.22 / $35.18	Professional	TC	$16.44	$24.22	$35.18