Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.74 / $21.74 / $21.74	Facility	26	$21.74	$21.74	$21.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $50.68 / $86.82	Professional		$29.16	$50.68	$86.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $21.68 / $31.67	Professional	26	$17.42	$21.68	$31.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.60 / $29.00 / $43.54	Professional	TC	$9.60	$29.00	$43.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $28.82 / $28.82	Professional	26	$28.82	$28.82	$28.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $47.19 / $65.06	Professional		$37.00	$47.19	$65.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.16 / $26.00 / $38.68	Professional	26	$19.16	$26.00	$38.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.00 / $14.28 / $33.72	Professional	TC	$11.00	$14.28	$33.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $49.64 / $121.33	Professional		$33.29	$49.64	$121.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $27.18 / $49.30	Professional	26	$22.63	$27.18	$49.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.86 / $21.60 / $72.73	Professional	TC	$9.86	$21.60	$72.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $24.49 / $40.11	Facility	26	$22.21	$24.49	$40.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $26.19 / $26.19	Professional		$26.19	$26.19	$26.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $37.00 / $57.58	Professional		$28.75	$37.00	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $41.11 / $71.69	Professional		$29.19	$41.11	$71.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $21.53 / $33.04	Professional	26	$18.30	$21.53	$33.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.83 / $20.49 / $43.32	Professional	TC	$8.83	$20.49	$43.32