Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $57.54	Facility	26	$38.02	$38.02	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $151.36	Professional		$63.10	$79.43	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $39.81 / $89.13	Professional	26	$33.88	$39.81	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $41.69 / $81.28	Professional	TC	$21.88	$41.69	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $134.90	Professional		$63.10	$83.18	$134.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $40.74 / $54.95	Professional	26	$31.62	$40.74	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $107.15	Professional		$74.13	$79.43	$107.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $50.12 / $72.44	Professional	26	$35.48	$50.12	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $47.86	Professional	TC	$25.12	$38.02	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $165.96	Professional		$64.57	$81.28	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $51.29 / $75.86	Professional	26	$41.69	$51.29	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $31.62 / $83.18	Professional	TC	$20.89	$31.62	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $95.50	Professional		$85.11	$85.11	$95.50
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $64.57	Professional	26	$57.54	$57.54	$64.57
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	TC	$17.78	$17.78	$17.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
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 $54.95 / $67.61 / $107.15	Professional		$54.95	$67.61	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $40.74 / $66.07	Professional	26	$32.36	$40.74	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $27.54 / $46.77	Professional	TC	$19.50	$27.54	$46.77