Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $45.22 / $95.54	Professional		$41.20	$45.22	$95.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.36 / $43.25 / $120.39	Professional	26	$26.36	$43.25	$120.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.83 / $17.14 / $40.36	Professional	TC	$14.83	$17.14	$40.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $51.79 / $51.79	Professional		$51.79	$51.79	$51.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.16 / $32.33 / $37.18	Professional	26	$16.16	$32.33	$37.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $60.19 / $65.09	Professional		$51.79	$60.19	$65.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.33 / $57.13 / $78.75	Professional	26	$32.33	$57.13	$78.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.06 / $19.46 / $79.72	Professional	TC	$3.06	$19.46	$79.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $27.32 / $87.00	Professional		$23.59	$27.32	$87.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.02 / $17.64 / $91.00	Professional	26	$14.02	$17.64	$91.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.44 / $9.57 / $24.44	Professional	TC	$8.44	$9.57	$24.44
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.28 / $42.00 / $84.00	Facility	26	$28.28	$42.00	$84.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $44.97 / $78.76	Professional		$25.98	$44.97	$78.76
United Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $39.90 / $112.32	Professional		$29.31	$39.90	$112.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $25.51 / $69.34	Professional	26	$17.57	$25.51	$69.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.78 / $12.98 / $42.98	Professional	TC	$10.78	$12.98	$42.98