Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $64.57 / $93.33	Facility	26	$50.12	$64.57	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $870.96	Professional		$102.33	$173.78	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $194.98 / $776.25	Professional	26	$56.23	$194.98	$776.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $69.18 / $138.04	Professional	TC	$51.29	$69.18	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $154.88	Professional		$93.33	$100.00	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $87.10	Professional	26	$45.71	$60.26	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $346.74	Professional		$123.03	$154.88	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $91.20 / $173.78	Professional	26	$60.26	$91.20	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $85.11 / $213.80	Professional	TC	$63.10	$85.11	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $295.12	Professional		$134.90	$204.17	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $83.18 / $120.23	Professional	26	$63.10	$83.18	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $107.15 / $169.82	Professional	TC	$69.18	$107.15	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
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 $120.23 / $151.36 / $275.42	Professional		$120.23	$151.36	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $114.82	Professional	26	$57.54	$70.79	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $81.28 / $162.18	Professional	TC	$61.66	$81.28	$162.18