Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $50.68 / $94.06	Professional		$48.76	$50.68	$94.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $23.48 / $84.15	Professional	26	$20.28	$23.48	$84.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.39 / $30.40 / $99.38	Professional	TC	$30.39	$30.40	$99.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.74 / $12.74 / $27.38	Professional	26	$12.74	$12.74	$27.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $50.40 / $72.72	Professional		$48.00	$50.40	$72.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.47 / $50.00 / $53.05	Professional	26	$25.47	$50.00	$53.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.04 / $46.89 / $180.34	Professional	TC	$2.04	$46.89	$180.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $34.34 / $76.12	Professional		$25.99	$34.34	$76.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.91 / $14.32 / $70.00	Professional	26	$12.91	$14.32	$70.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.93 / $18.76 / $43.73	Professional	TC	$10.93	$18.76	$43.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $26.21 / $39.00 / $60.00	Facility	26	$26.21	$39.00	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $76.48 / $116.54	Professional		$45.28	$76.48	$116.54
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $48.76 / $130.18	Professional		$37.61	$48.76	$130.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.84 / $20.02 / $58.46	Professional	26	$15.84	$20.02	$58.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.44 / $28.00 / $58.44	Professional	TC	$21.44	$28.00	$58.44