Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $112.19 / $130.69	Professional		$81.20	$112.19	$130.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $14.82 / $15.57	Professional	26	$11.85	$14.82	$15.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.95 / $101.87 / $115.53	Professional	TC	$73.95	$101.87	$115.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $210.63 / $210.63	Professional		$117.67	$210.63	$210.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $51.84 / $123.55	Professional		$39.00	$51.84	$123.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $28.00 / $36.36	Professional	26	$13.78	$28.00	$36.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.00 / $14.62 / $109.08	Professional	TC	$11.00	$14.62	$109.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $111.29 / $225.81	Professional		$82.98	$111.29	$225.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.33 / $16.47 / $27.69	Professional	26	$12.33	$16.47	$27.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.15 / $93.56 / $198.12	Professional	TC	$68.15	$93.56	$198.12
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.15 / $19.00 / $24.86	Facility	26	$14.15	$19.00	$24.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $142.97 / $168.20	Professional		$121.38	$142.97	$168.20
United Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $90.94 / $146.21	Professional		$72.22	$90.94	$146.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $14.06 / $20.49	Professional	26	$11.64	$14.06	$20.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.14 / $78.52 / $110.92	Professional	TC	$59.14	$78.52	$110.92