Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $79.23 / $152.37	Professional		$42.21	$79.23	$152.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $26.54 / $88.09	Professional	26	$9.76	$26.54	$88.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.66 / $69.03 / $129.96	Professional	TC	$45.66	$69.03	$129.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $37.04 / $73.26	Professional		$36.63	$37.04	$73.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.49 / $11.80 / $21.42	Professional	26	$5.49	$11.80	$21.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $31.14 / $31.14 / $31.14	Professional	TC	$31.14	$31.14	$31.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $22.05 / $73.63	Professional		$21.00	$22.05	$73.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $26.00 / $32.64	Professional	26	$10.98	$26.00	$32.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.63 / $62.28 / $262.80	Professional	TC	$31.63	$62.28	$262.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.11 / $30.11 / $30.11	Facility		$30.11	$30.11	$30.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.80 / $5.80 / $5.80	Facility	26	$5.80	$5.80	$5.80
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.30 / $24.30 / $24.30	Facility	TC	$24.30	$24.30	$24.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $33.94 / $84.96	Professional		$25.85	$33.94	$84.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $6.15 / $38.82	Professional	26	$5.45	$6.15	$38.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $27.87 / $72.59	Professional	TC	$19.64	$27.87	$72.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $61.97 / $101.82	Facility		$42.00	$61.97	$101.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $16.47 / $22.00 / $46.00	Facility	26	$16.47	$22.00	$46.00
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $53.96 / $76.84 / $102.74	Facility	TC	$53.96	$76.84	$102.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $59.90 / $88.59	Professional		$50.20	$59.90	$88.59
United Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $47.52 / $136.18	Professional		$39.11	$47.52	$136.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.66 / $7.58 / $22.48	Professional	26	$6.66	$7.58	$22.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.45 / $42.74 / $108.50	Professional	TC	$32.45	$42.74	$108.50