Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.62 / $25.42 / $27.02	Facility	26	$21.62	$25.42	$27.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $99.30 / $232.80	Professional		$86.29	$99.30	$232.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $25.42 / $100.30	Professional	26	$23.42	$25.42	$100.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $73.88 / $108.17	Professional	TC	$62.86	$73.88	$108.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.88 / $30.88 / $33.20	Professional	26	$30.88	$30.88	$33.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.69 / $145.25	Professional		$50.00	$85.69	$145.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.88 / $36.00 / $65.29	Professional	26	$30.88	$36.00	$65.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.00 / $20.39 / $106.65	Professional	TC	$14.00	$20.39	$106.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $54.95 / $149.93	Professional		$45.54	$54.95	$149.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $15.35 / $39.57	Professional	26	$13.23	$15.35	$39.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.58 / $39.59 / $114.62	Professional	TC	$32.58	$39.59	$114.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $39.57 / $39.81 / $49.10	Facility	26	$39.57	$39.81	$49.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $106.43 / $155.42	Professional		$41.02	$106.43	$155.42
United Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $84.23 / $196.55	Professional		$54.20	$84.23	$196.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.17 / $21.65 / $50.53	Professional	26	$15.17	$21.65	$50.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.32 / $62.58 / $146.02	Professional	TC	$38.32	$62.58	$146.02