Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $54.86 / $148.96	Professional		$50.78	$54.86	$148.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $22.12 / $88.58	Professional	26	$19.18	$22.12	$88.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $35.68 / $109.46	Professional	TC	$26.60	$35.68	$109.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $37.57	Professional		$37.57	$37.57	$37.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $75.52	Professional		$40.00	$40.00	$75.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.53 / $41.00 / $55.09	Professional	26	$23.53	$41.00	$55.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.62 / $51.62 / $202.45	Professional	TC	$51.62	$51.62	$202.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $34.27 / $78.91	Professional		$23.59	$34.27	$78.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $13.18 / $68.98	Professional	26	$11.45	$13.18	$68.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.11 / $21.11 / $51.32	Professional	TC	$11.11	$21.11	$51.32
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.11 / $35.00 / $50.00	Facility	26	$23.11	$35.00	$50.00
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 $31.35 / $47.43 / $111.46	Professional		$31.35	$47.43	$111.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.35 / $18.28 / $54.14	Professional	26	$14.35	$18.28	$54.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $28.31 / $65.15	Professional	TC	$14.31	$28.31	$65.15