Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.11 / $43.11 / $43.11	Facility	26	$43.11	$43.11	$43.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $84.46 / $143.78	Professional		$59.08	$84.46	$143.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $43.31 / $71.37	Professional	26	$35.72	$43.31	$71.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.42 / $40.19 / $58.65	Professional	TC	$24.42	$40.19	$58.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $96.30 / $96.30	Professional		$96.30	$96.30	$96.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $44.25 / $58.19	Professional	26	$44.25	$44.25	$58.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $90.00 / $158.25	Professional		$75.20	$90.00	$158.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.03 / $61.00 / $88.30	Professional	26	$38.03	$61.00	$88.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $35.38 / $50.99	Professional	TC	$29.00	$35.38	$50.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $94.54 / $195.78	Professional		$75.58	$94.54	$195.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.35 / $59.93 / $97.85	Professional	26	$46.35	$59.93	$97.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.73 / $34.31 / $96.29	Professional	TC	$24.73	$34.31	$96.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $50.99 / $55.78 / $81.97	Facility	26	$50.99	$55.78	$81.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $61.27 / $61.27	Professional		$61.27	$61.27	$61.27
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 $58.73 / $73.48 / $123.15	Professional		$58.73	$73.48	$123.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $46.28 / $78.03	Professional	26	$36.10	$46.28	$78.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.07 / $29.77 / $57.33	Professional	TC	$22.07	$29.77	$57.33