Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $25.70 / $66.07	Facility	26	$19.95	$25.70	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $151.36	Professional		$30.90	$57.54	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.20 / $72.44	Professional	26	$19.95	$30.20	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $18.62 / $58.88	Professional	TC	$10.96	$18.62	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $50.12	Professional		$44.67	$44.67	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $23.99 / $42.66	Professional	26	$17.78	$23.99	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $97.72 / $169.82	Professional		$39.81	$97.72	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $32.36 / $60.26	Professional	26	$23.99	$32.36	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $51.29 / $112.20	Professional	TC	$16.22	$51.29	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $141.25	Professional		$51.29	$81.28	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $34.67 / $51.29	Professional	26	$25.70	$34.67	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $48.98 / $91.20	Professional	TC	$18.62	$48.98	$91.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Professional	26	$53.70	$53.70	$53.70
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 $44.67 / $67.61 / $125.89	Professional		$44.67	$67.61	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $28.18 / $48.98	Professional	26	$23.44	$28.18	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $37.15 / $74.13	Professional	TC	$19.95	$37.15	$74.13