Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.35 / $32.35 / $32.35	Facility	26	$32.35	$32.35	$32.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $67.34 / $109.75	Professional		$47.18	$67.34	$109.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.19 / $32.35 / $50.60	Professional	26	$27.19	$32.35	$50.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $32.45 / $50.06	Professional	TC	$18.03	$32.45	$50.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $86.53	Professional		$65.05	$65.05	$86.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.74 / $31.74 / $44.28	Professional	26	$31.74	$31.74	$44.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $68.25 / $114.29	Professional		$60.51	$68.25	$114.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.94 / $43.00 / $61.60	Professional	26	$28.94	$43.00	$61.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $28.57 / $43.17	Professional	TC	$22.00	$28.57	$43.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $69.81 / $157.18	Professional		$55.47	$69.81	$157.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.47 / $43.65 / $73.69	Professional	26	$34.47	$43.65	$73.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $27.45 / $81.56	Professional	TC	$18.60	$27.45	$81.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.65 / $41.46 / $58.77	Facility	26	$36.65	$41.46	$58.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $44.47 / $44.47	Professional		$44.47	$44.47	$44.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $53.47 / $99.31	Professional		$30.56	$53.47	$99.31
United Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $57.05 / $91.61	Professional		$46.55	$57.05	$91.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.23 / $33.25 / $52.90	Professional	26	$27.23	$33.25	$52.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $25.12 / $40.39	Professional	TC	$16.96	$25.12	$40.39