Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $40.47 / $93.85	Professional		$34.84	$40.47	$93.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.75 / $34.67 / $3,650.85	Professional	26	$22.75	$34.67	$3,650.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $17.72 / $46.85	Professional	TC	$9.88	$17.72	$46.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $25.02 / $25.02	Professional		$25.02	$25.02	$25.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $30.00 / $32.10	Professional	26	$13.96	$30.00	$32.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $55.00 / $94.87	Professional		$50.03	$55.00	$94.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.91 / $60.00 / $78.55	Professional	26	$27.91	$60.00	$78.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.12 / $22.12 / $92.01	Professional	TC	$22.12	$22.12	$92.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.95 / $58.22	Professional		$18.27	$25.95	$58.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.83 / $15.58 / $83.50	Professional	26	$13.83	$15.58	$83.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.92 / $9.96 / $25.49	Professional	TC	$3.92	$9.96	$25.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $64.00 / $92.00	Facility		$44.02	$64.00	$92.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $41.90 / $53.00 / $82.00	Facility	26	$41.90	$53.00	$82.00
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 $23.48 / $37.28 / $87.02	Professional		$23.48	$37.28	$87.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $22.74 / $70.34	Professional	26	$17.05	$22.74	$70.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.31 / $13.86 / $32.34	Professional	TC	$6.31	$13.86	$32.34