Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.91 / $45.91 / $45.91	Facility	26	$45.91	$45.91	$45.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $86.84 / $96.27	Professional		$75.52	$86.84	$96.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $44.09 / $46.88	Professional	26	$38.81	$44.09	$46.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.88 / $41.17 / $49.12	Professional	TC	$34.88	$41.17	$49.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $78.90 / $78.90	Professional		$75.00	$78.90	$78.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $82.85 / $136.96	Professional		$77.00	$82.85	$136.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.83 / $60.00 / $86.86	Professional	26	$40.83	$60.00	$86.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.00 / $24.15 / $46.70	Professional	TC	$17.00	$24.15	$46.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $94.77 / $161.00	Professional		$67.89	$94.77	$161.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.91 / $58.30 / $87.12	Professional	26	$44.91	$58.30	$87.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.79 / $45.44 / $73.37	Professional	TC	$15.79	$45.44	$73.37
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $46.61 / $58.00 / $96.25	Facility	26	$46.61	$58.00	$96.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $54.68 / $137.35	Professional		$30.05	$54.68	$137.35
United Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $87.58 / $179.05	Professional		$67.04	$87.58	$179.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.81 / $47.96 / $79.19	Professional	26	$41.81	$47.96	$79.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.42 / $41.05 / $80.78	Professional	TC	$26.42	$41.05	$80.78