Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.44 / $33.44 / $95.58	Facility	26	$33.44	$33.44	$95.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $112.10 / $133.66	Professional		$52.52	$112.10	$133.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.44 / $36.49 / $42.59	Professional	26	$33.44	$36.49	$42.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $78.66 / $94.70	Professional	TC	$16.03	$78.66	$94.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $132.61 / $132.61	Professional		$132.61	$132.61	$132.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.05 / $67.05 / $67.05	Professional	26	$67.05	$67.05	$67.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.98 / $288.00	Professional		$100.00	$123.98	$288.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.46 / $80.00 / $132.30	Professional	26	$37.46	$80.00	$132.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.00 / $85.91 / $195.00	Professional	TC	$60.00	$85.91	$195.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $134.04 / $222.17	Professional		$73.01	$134.04	$222.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $54.04 / $81.00	Professional	26	$39.97	$54.04	$81.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $79.16 / $156.31	Professional	TC	$19.95	$79.16	$156.31
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $60.75 / $70.00 / $122.67	Facility	26	$60.75	$70.00	$122.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $103.51 / $103.51	Professional		$103.51	$103.51	$103.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $118.61 / $185.04	Professional		$45.50	$118.61	$185.04
United Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $128.19 / $235.93	Professional		$60.88	$128.19	$235.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $53.09 / $81.31	Professional	26	$38.79	$53.09	$81.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.66 / $82.29 / $154.61	Professional	TC	$21.66	$82.29	$154.61