Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $50.34 / $53.46	Professional		$36.96	$50.34	$53.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $8.22 / $9.25	Professional	26	$6.34	$8.22	$9.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.63 / $42.12 / $44.90	Professional	TC	$30.63	$42.12	$44.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $67.97 / $67.97	Professional		$67.97	$67.97	$67.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $48.55 / $60.12	Professional		$26.00	$48.55	$60.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $16.39 / $24.00	Professional	26	$8.13	$16.39	$24.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.00 / $29.84 / $48.65	Professional	TC	$5.00	$29.84	$48.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $47.49 / $88.34	Professional		$36.93	$47.49	$88.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $9.69 / $14.99	Professional	26	$7.11	$9.69	$14.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.66 / $38.84 / $73.34	Professional	TC	$27.66	$38.84	$73.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $8.34 / $10.00 / $12.47	Facility	26	$8.34	$10.00	$12.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $32.84 / $44.29	Professional		$25.45	$32.84	$44.29
United Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $43.49 / $53.77	Professional		$32.35	$43.49	$53.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.10 / $8.25 / $10.73	Professional	26	$6.10	$8.25	$10.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.61 / $36.40 / $44.39	Professional	TC	$26.61	$36.40	$44.39