Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $120.23	Professional		$48.98	$58.88	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $199.53	Professional	26	$19.95	$28.18	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.88 / $77.62	Professional	TC	$26.92	$33.88	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $67.61	Professional		$30.90	$61.66	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $26.92 / $28.84	Professional	26	$12.59	$26.92	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $147.91	Professional		$61.66	$66.07	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $26.92 / $81.28	Professional	26	$25.70	$26.92	$81.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $38.90 / $64.57	Professional	TC	$36.31	$38.90	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $169.82	Professional		$31.62	$52.48	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $27.54 / $93.33	Professional	26	$13.49	$27.54	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.91 / $74.13	Professional	TC	$17.78	$22.91	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $87.10 / $177.83	Facility		$57.54	$87.10	$177.83
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 $38.02 / $64.57 / $245.47	Professional		$38.02	$64.57	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $32.36 / $134.90	Professional	26	$16.22	$32.36	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $114.82	Professional	TC	$21.88	$36.31	$114.82