Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $60.26	Professional		$20.89	$31.62	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $14.45 / $141.25	Professional	26	$5.01	$14.45	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.42 / $50.12	Professional	TC	$15.85	$20.42	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $33.88	Professional		$14.79	$15.14	$33.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $6.76 / $7.41	Professional	26	$3.09	$6.76	$7.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $63.10	Professional		$18.20	$32.36	$63.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $28.18 / $51.29	Professional	26	$6.46	$28.18	$51.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $25.12 / $30.90	Professional	TC	$23.99	$25.12	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $60.26	Professional		$14.45	$21.88	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $3.47 / $10.72	Professional	26	$3.09	$3.47	$10.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $18.62 / $50.12	Professional	TC	$10.96	$18.62	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $32.36 / $79.43	Facility		$23.99	$32.36	$79.43
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 $17.78 / $30.20 / $102.33	Professional		$17.78	$30.20	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.72 / $6.17 / $16.22	Professional	26	$3.72	$6.17	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $23.99 / $85.11	Professional	TC	$13.80	$23.99	$85.11