Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $60.72 / $97.12	Professional		$43.47	$60.72	$97.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $35.09 / $42.57	Professional	26	$26.26	$35.09	$42.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.51 / $27.41	Professional	TC	$17.78	$24.51	$27.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $58.29 / $75.84	Professional		$54.21	$58.29	$75.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $55.83 / $91.42	Professional		$42.00	$55.83	$91.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.00 / $34.27 / $46.77	Professional	26	$34.00	$34.27	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.00 / $10.63 / $44.65	Professional	TC	$8.00	$10.63	$44.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $63.60 / $105.89	Professional		$49.34	$63.60	$105.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.17 / $39.89 / $62.46	Professional	26	$29.17	$39.89	$62.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.87 / $25.31 / $43.43	Professional	TC	$16.87	$25.31	$43.43
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $38.00 / $65.70	Facility	26	$36.00	$38.00	$65.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $43.06 / $81.68	Professional		$32.34	$43.06	$81.68
United Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $54.91 / $85.28	Professional		$41.99	$54.91	$85.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.31 / $33.60 / $47.71	Professional	26	$24.31	$33.60	$47.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.15 / $21.30 / $29.33	Professional	TC	$15.15	$21.30	$29.33