Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $98.58 / $257.27	Professional		$69.73	$98.58	$257.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.07 / $55.64 / $342.11	Professional	26	$31.07	$55.64	$342.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.21 / $55.40 / $132.58	Professional	TC	$50.21	$55.40	$132.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $37.79 / $53.64	Professional	26	$18.89	$37.79	$53.64
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $69.95 / $69.95 / $69.95	Professional	TC	$69.95	$69.95	$69.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $107.10 / $130.57	Professional		$102.00	$107.10	$130.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $59.00 / $75.48	Professional	26	$37.79	$59.00	$75.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.00 / $45.15 / $70.31	Professional	TC	$43.00	$45.15	$70.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $60.25 / $152.63	Professional		$52.14	$60.25	$152.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $26.81 / $87.87	Professional	26	$21.43	$26.81	$87.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.33 / $36.53 / $86.49	Professional	TC	$22.33	$36.53	$86.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $166.32 / $175.46	Facility		$98.01	$166.32	$175.46
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $55.76 / $69.72 / $75.93	Facility	26	$55.76	$69.72	$75.93
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 $67.27 / $95.55 / $244.92	Professional		$67.27	$95.55	$244.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.60 / $30.86 / $102.63	Professional	26	$24.60	$30.86	$102.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.46 / $56.83 / $118.61	Professional	TC	$40.46	$56.83	$118.61