Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $78.30 / $334.69	Professional		$51.88	$78.30	$334.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $73.05 / $500.00	Professional	26	$31.70	$73.05	$500.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.31 / $26.31 / $38.52	Professional	52	$26.31	$26.31	$38.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.62 / $40.21 / $139.80	Professional	TC	$26.62	$40.21	$139.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $36.04 / $65.54	Professional		$32.20	$36.04	$65.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $36.52 / $48.24	Professional	26	$16.98	$36.52	$48.24
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.78 / $15.78 / $15.79	Professional	TC	$15.78	$15.78	$15.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $84.00 / $158.12	Professional		$65.54	$84.00	$158.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $123.00 / $136.05	Professional	26	$33.97	$123.00	$136.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $31.57 / $80.00	Professional	TC	$28.57	$31.57	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $37.86 / $37.86	Facility		$37.86	$37.86	$37.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.13 / $18.13 / $18.13	Facility	26	$18.13	$18.13	$18.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $17.02 / $17.02 / $17.02	Facility	TC	$17.02	$17.02	$17.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $47.95 / $141.69	Professional		$33.65	$47.95	$141.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $19.21 / $137.37	Professional	26	$17.26	$19.21	$137.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.90 / $29.59 / $81.55	Professional	TC	$14.90	$29.59	$81.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.58 / $116.87 / $150.00	Facility		$57.58	$116.87	$150.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $52.82 / $75.00 / $150.00	Facility	26	$52.82	$75.00	$150.00
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $40.74 / $70.00 / $97.19	Facility	TC	$40.74	$70.00	$97.19
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 $40.94 / $61.09 / $181.66	Professional		$40.94	$61.09	$181.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $26.79 / $78.68	Professional	26	$21.42	$26.79	$78.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $32.11 / $111.46	Professional	TC	$18.64	$32.11	$111.46