Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $89.13	Professional		$36.31	$42.66	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $85.11 / $489.78	Professional	26	$22.91	$85.11	$489.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $18.20 / $37.15	Professional	TC	$10.96	$18.20	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $30.20 / $32.36	Professional	26	$13.80	$30.20	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $95.50	Professional		$38.90	$53.70	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $30.20 / $79.43	Professional	26	$28.18	$30.20	$79.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $23.99 / $23.99	Professional	TC	$22.39	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $57.54	Professional		$18.62	$25.70	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $15.49 / $46.77	Professional	26	$13.80	$15.49	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $10.00 / $25.12	Professional	TC	$3.89	$10.00	$25.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $51.29 / $77.62	Facility		$34.67	$51.29	$77.62
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 $23.44 / $38.90 / $93.33	Professional		$23.44	$38.90	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $27.54 / $67.61	Professional	26	$16.98	$27.54	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.31 / $13.80 / $32.36	Professional	TC	$6.31	$13.80	$32.36