Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $86.00 / $232.90	Professional		$56.63	$86.00	$232.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.75 / $50.98 / $164.76	Professional	26	$19.75	$50.98	$164.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.43 / $81.63 / $173.92	Professional	TC	$44.43	$81.63	$173.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $55.20 / $105.32	Professional		$50.69	$55.20	$105.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $24.23 / $27.86	Professional	26	$12.11	$24.23	$27.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.07 / $38.07 / $38.07	Professional	TC	$38.07	$38.07	$38.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $85.69 / $100.86	Professional		$38.00	$85.69	$100.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.23 / $29.00 / $41.82	Professional	26	$24.23	$29.00	$41.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.00 / $9.44 / $76.51	Professional	TC	$9.00	$9.44	$76.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $47.23 / $117.43	Professional		$36.18	$47.23	$117.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $13.57 / $70.00	Professional	26	$12.38	$13.57	$70.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.12 / $33.79 / $90.14	Professional	TC	$22.12	$33.79	$90.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $81.63 / $140.55	Facility		$45.00	$81.63	$140.55
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $26.00 / $40.34 / $50.38	Facility	26	$26.00	$40.34	$50.38
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $86.02 / $89.52 / $128.11	Facility	TC	$86.02	$89.52	$128.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $103.87 / $155.81	Professional		$45.28	$103.87	$155.81
United Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $67.51 / $153.35	Professional		$53.93	$67.51	$153.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.22 / $16.67 / $55.58	Professional	26	$15.22	$16.67	$55.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.71 / $52.46 / $126.38	Professional	TC	$38.71	$52.46	$126.38