Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $257.04	Professional		$75.86	$104.71	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $79.43 / $457.09	Professional	26	$30.90	$79.43	$457.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $63.10 / $138.04	Professional	TC	$50.12	$63.10	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $41.69 / $44.67	Professional	26	$19.05	$41.69	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $131.83	Professional		$70.79	$120.23	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $40.74 / $75.86	Professional	26	$38.02	$40.74	$75.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $74.13 / $79.43	Professional	TC	$30.20	$74.13	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $151.36	Professional		$52.48	$60.26	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.92 / $87.10	Professional	26	$20.42	$26.92	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $81.28	Professional	TC	$22.39	$38.02	$81.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $213.80	Facility		$85.11	$117.49	$213.80
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 $67.61 / $109.65 / $263.03	Professional		$67.61	$109.65	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $42.66 / $125.89	Professional	26	$24.55	$42.66	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $58.88 / $141.25	Professional	TC	$40.74	$58.88	$141.25