Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $173.78	Professional		$66.07	$89.13	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $45.71 / $97.72	Professional	26	$38.02	$45.71	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.90 / $75.86	Professional	TC	$20.89	$38.90	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $128.82	Professional		$70.79	$93.33	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $43.65 / $58.88	Professional	26	$35.48	$43.65	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $114.82	Professional		$74.13	$83.18	$114.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $53.70 / $77.62	Professional	26	$39.81	$53.70	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $35.48 / $44.67	Professional	TC	$26.92	$35.48	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $165.96	Professional		$69.18	$85.11	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $85.11	Professional	26	$45.71	$56.23	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $77.62	Professional	TC	$21.88	$30.20	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $104.71	Professional		$91.20	$91.20	$104.71
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $70.79	Professional	26	$63.10	$63.10	$70.79
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $18.20 / $18.20	Professional	TC	$18.20	$18.20	$18.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
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 $56.23 / $70.79 / $109.65	Professional		$56.23	$70.79	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $44.67 / $70.79	Professional	26	$35.48	$44.67	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.70 / $45.71	Professional	TC	$19.95	$25.70	$45.71