Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $140.50 / $514.12	Professional		$65.81	$140.50	$514.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.45 / $15.45 / $19.45	Professional	26	$15.45	$15.45	$19.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.36 / $50.36 / $65.25	Professional	TC	$50.36	$50.36	$65.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Professional		$38.54	$38.54	$38.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $53.55 / $86.71	Professional		$51.00	$53.55	$86.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.36 / $18.36 / $77.62	Professional	26	$18.36	$18.36	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.87 / $58.71 / $254.07	Professional	TC	$43.87	$58.71	$254.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.88 / $10.88 / $10.88	Facility	26	$10.88	$10.88	$10.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $43.88 / $131.63	Professional		$39.32	$43.88	$131.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $11.33 / $35.72	Professional	26	$10.52	$11.33	$35.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $32.72 / $95.91	Professional	TC	$28.51	$32.72	$95.91
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $31.83 / $38.00 / $41.00	Facility	26	$31.83	$38.00	$41.00
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 $47.96 / $59.11 / $165.48	Professional		$47.96	$59.11	$165.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $15.86 / $46.20	Professional	26	$12.76	$15.86	$46.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.09 / $45.25 / $150.84	Professional	TC	$35.09	$45.25	$150.84