Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $43.72 / $56.89	Professional		$23.76	$43.72	$56.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $10.11 / $91.80	Professional	26	$5.37	$10.11	$91.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $26.44 / $53.30	Professional	TC	$18.68	$26.44	$53.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $14.92 / $32.08	Professional		$14.92	$14.92	$32.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.12 / $6.71 / $9.10	Professional	26	$3.12	$6.71	$9.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $27.30 / $63.25	Professional		$26.00	$27.30	$63.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.24 / $33.95 / $50.93	Professional	26	$6.24	$33.95	$50.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.59 / $23.59 / $98.15	Professional	TC	$23.59	$23.59	$98.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $22.10 / $70.00	Professional		$14.47	$22.10	$70.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.03 / $3.53 / $24.18	Professional	26	$3.03	$3.53	$24.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.95 / $18.87 / $49.96	Professional	TC	$10.95	$18.87	$49.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $49.00 / $67.11	Facility		$25.74	$49.00	$67.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $9.18 / $22.00 / $52.00	Facility	26	$9.18	$22.00	$52.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $29.95 / $44.29	Professional		$25.10	$29.95	$44.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $28.71 / $101.42	Professional		$17.86	$28.71	$101.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.70 / $4.33 / $13.13	Professional	26	$3.70	$4.33	$13.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.72 / $22.54 / $69.28	Professional	TC	$13.72	$22.54	$69.28