Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.80 / $37.26 / $42.72	Facility	26	$29.80	$37.26	$42.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $53.30 / $139.41	Professional		$42.72	$53.30	$139.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $29.81 / $69.70	Professional	26	$25.82	$29.81	$69.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.88 / $23.48 / $39.24	Professional	TC	$19.88	$23.48	$39.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $43.62	Professional		$33.11	$33.11	$43.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.63 / $40.61 / $47.79	Professional	26	$21.63	$40.61	$47.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $54.39 / $76.45	Professional		$40.58	$54.39	$76.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.70 / $30.71 / $42.73	Professional	26	$26.70	$30.71	$42.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.88 / $23.52 / $32.85	Professional	TC	$13.88	$23.52	$32.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $13.99	Professional	TC	$13.99	$13.99	$13.99
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $29.65 / $29.87 / $82.14	Facility	26	$29.65	$29.87	$82.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.30 / $189.30 / $189.30	Professional		$189.30	$189.30	$189.30
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $106.57 / $106.57 / $106.57	Professional	26	$106.57	$106.57	$106.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $64.71 / $102.56	Professional		$37.11	$64.71	$102.56
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $65.55 / $106.29	Professional		$51.46	$65.55	$106.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.23 / $36.82 / $58.30	Professional	26	$28.23	$36.82	$58.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.64 / $47.52	Professional	TC	$22.91	$28.64	$47.52