Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $392.56 / $605.20	Professional		$71.47	$392.56	$605.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $26.30 / $165.78	Professional	26	$21.55	$26.30	$165.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $63.08 / $169.08	Professional	TC	$41.50	$63.08	$169.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $54.64 / $54.64	Professional		$54.64	$54.64	$54.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.42 / $28.42 / $28.42	Professional	26	$28.42	$28.42	$28.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $56.70 / $99.85	Professional		$54.00	$56.70	$99.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.00 / $19.95 / $51.01	Professional	26	$19.00	$19.95	$51.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $35.00 / $73.27	Professional	TC	$22.44	$35.00	$73.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $36.15 / $121.74	Professional		$34.28	$36.15	$121.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $14.68 / $41.73	Professional	26	$13.94	$14.68	$41.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $21.38 / $90.74	Professional	TC	$19.93	$21.38	$90.74
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $31.79 / $38.68 / $51.76	Facility	26	$31.79	$38.68	$51.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $85.68 / $154.20	Professional		$45.28	$85.68	$154.20
United Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $70.64 / $169.20	Professional		$40.64	$70.64	$169.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $20.30 / $60.64	Professional	26	$16.72	$20.30	$60.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $44.71 / $99.67	Professional	TC	$23.92	$44.71	$99.67