Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.34 / $38.34 / $54.40	Facility	26	$38.34	$38.34	$54.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $79.77 / $127.99	Professional		$59.50	$79.77	$127.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.70 / $38.61 / $68.36	Professional	26	$32.70	$38.61	$68.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $39.04 / $57.87	Professional	TC	$21.05	$39.04	$57.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $110.99 / $126.36	Professional		$75.88	$110.99	$126.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $36.54 / $52.02	Professional	26	$36.54	$36.54	$52.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $81.84 / $123.82	Professional		$70.59	$81.84	$123.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.00 / $52.00 / $75.28	Professional	26	$34.00	$52.00	$75.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $32.46 / $50.04	Professional	TC	$25.00	$32.46	$50.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $82.29 / $183.89	Professional		$64.69	$82.29	$183.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.48 / $52.12 / $87.47	Professional	26	$41.48	$52.12	$87.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.97 / $31.45 / $94.82	Professional	TC	$20.97	$31.45	$94.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $49.79 / $70.30	Facility	26	$43.40	$49.79	$70.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $52.61 / $52.61	Professional		$52.61	$52.61	$52.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $55.75 / $141.14	Professional		$30.56	$55.75	$141.14
United Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $68.62 / $107.49	Professional		$53.81	$68.62	$107.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.25 / $39.59 / $64.59	Professional	26	$32.25	$39.59	$64.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $28.96 / $56.45	Professional	TC	$19.71	$28.96	$56.45