Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $78.03 / $153.16	Professional		$69.04	$78.03	$153.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.04 / $59.85 / $192.02	Professional	26	$46.04	$59.85	$192.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.00 / $27.65 / $58.83	Professional	TC	$23.00	$27.65	$58.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.18 / $56.18 / $64.61	Professional	26	$56.18	$56.18	$64.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $109.00 / $129.55	Professional		$83.91	$109.00	$129.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.18 / $100.00 / $125.47	Professional	26	$56.18	$100.00	$125.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.08 / $9.00 / $27.87	Professional	TC	$4.08	$9.00	$27.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $44.26 / $124.83	Professional		$41.37	$44.26	$124.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.21 / $31.83 / $96.02	Professional	26	$28.21	$31.83	$96.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.13 / $13.97 / $35.34	Professional	TC	$10.13	$13.97	$35.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $75.25 / $85.70 / $99.16	Facility	26	$75.25	$85.70	$99.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $62.29 / $111.83	Professional		$28.00	$62.29	$111.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $85.09 / $184.06	Professional		$51.99	$85.09	$184.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.51 / $44.27 / $139.49	Professional	26	$34.51	$44.27	$139.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $19.89 / $53.42	Professional	TC	$16.03	$19.89	$53.42