Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $123.03	Professional		$52.48	$61.66	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $95.50	Professional	26	$19.95	$26.92	$95.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.52 / $436.52 / $436.52	Professional	50	$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	52	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.88 / $60.26	Professional	TC	$28.18	$33.88	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $58.88 / $85.11	Professional		$53.70	$58.88	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.18	Professional	26	$28.18	$28.18	$28.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	TC	$54.95	$54.95	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $380.19	Facility		$218.78	$218.78	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $95.50	Professional		$60.26	$64.57	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $50.12 / $58.88	Professional	26	$25.70	$50.12	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $34.67 / $43.65	Professional	TC	$12.88	$34.67	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $104.71	Professional		$51.29	$67.61	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $45.71	Professional	26	$20.89	$28.18	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.90 / $57.54	Professional	TC	$28.18	$38.90	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $63.10 / $97.72	Facility		$47.86	$63.10	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $83.18	Professional		$44.67	$60.26	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $24.55 / $33.88	Professional	26	$17.78	$24.55	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $50.12	Professional	TC	$25.70	$33.88	$50.12