Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.84 / $37.84 / $37.84	Facility	26	$37.84	$37.84	$37.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $73.09 / $120.91	Professional		$56.23	$73.09	$120.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $38.61 / $61.84	Professional	26	$34.15	$38.61	$61.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $34.14 / $48.90	Professional	TC	$21.05	$34.14	$48.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $115.62 / $116.26	Professional		$69.43	$115.62	$116.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $77.73 / $118.56	Professional		$64.59	$77.73	$118.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.32 / $52.00 / $75.28	Professional	26	$33.32	$52.00	$75.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $30.25 / $43.15	Professional	TC	$25.00	$30.25	$43.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $81.36 / $168.46	Professional		$67.63	$81.36	$168.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.38 / $52.88 / $85.73	Professional	26	$41.38	$52.88	$85.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $29.17 / $80.84	Professional	TC	$20.96	$29.17	$80.84
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.43 / $50.31 / $83.29	Facility	26	$42.43	$50.31	$83.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $55.33	Professional		$55.33	$55.33	$55.33
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 $51.97 / $65.25 / $134.78	Professional		$51.97	$65.25	$134.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.65 / $41.56 / $68.58	Professional	26	$31.65	$41.56	$68.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.11 / $24.54 / $45.47	Professional	TC	$18.11	$24.54	$45.47