Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $86.71 / $132.77	Professional		$63.52	$86.71	$132.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.75 / $62.51 / $521.90	Professional	26	$32.75	$62.51	$521.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.24 / $81.70 / $163.40	Professional	TC	$53.24	$81.70	$163.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $42.53 / $56.03	Professional	26	$19.78	$42.53	$56.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $156.00 / $163.80	Professional		$105.09	$156.00	$163.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.56 / $63.00 / $66.15	Professional	26	$39.56	$63.00	$66.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.53 / $93.00 / $97.65	Professional	TC	$65.53	$93.00	$97.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $74.70 / $415.00	Professional		$61.22	$74.70	$415.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.82 / $28.98 / $137.90	Professional	26	$22.82	$28.98	$137.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $44.69 / $130.72	Professional	TC	$38.40	$44.69	$130.72
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $69.20 / $86.00 / $120.00	Facility	26	$69.20	$86.00	$120.00
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 $71.56 / $95.36 / $277.45	Professional		$71.56	$95.36	$277.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.61 / $32.97 / $109.61	Professional	26	$24.61	$32.97	$109.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.91 / $57.85 / $165.28	Professional	TC	$44.91	$57.85	$165.28