Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.32 / $26.32 / $60.78	Facility	26	$26.32	$26.32	$60.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $60.59 / $102.03	Professional		$41.03	$60.59	$102.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $26.32 / $41.54	Professional	26	$22.20	$26.32	$41.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $31.23 / $45.72	Professional	TC	$16.67	$31.23	$45.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $95.50 / $96.03	Professional		$57.35	$95.50	$96.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $59.52 / $86.21	Professional		$53.35	$59.52	$86.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.26 / $35.00 / $50.13	Professional	26	$23.26	$35.00	$50.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $26.77 / $41.15	Professional	TC	$21.00	$26.77	$41.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $61.34 / $138.84	Professional		$46.50	$61.34	$138.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.91 / $35.38 / $59.83	Professional	26	$27.91	$35.38	$59.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $26.32 / $78.63	Professional	TC	$16.82	$26.32	$78.63
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $29.52 / $33.88 / $47.71	Facility	26	$29.52	$33.88	$47.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $37.76 / $37.76	Professional		$37.76	$37.76	$37.76
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 $40.10 / $50.47 / $81.84	Professional		$40.10	$50.47	$81.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.14 / $27.07 / $45.17	Professional	26	$22.14	$27.07	$45.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.66 / $46.81	Professional	TC	$15.85	$23.66	$46.81