Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $83.00 / $83.00	Facility	26	$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $275.00 / $370.52	Professional		$150.32	$275.00	$370.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $56.66 / $98.07	Professional	26	$48.57	$56.66	$98.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.63 / $192.00 / $302.37	Professional	TC	$96.63	$192.00	$302.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $146.68 / $146.68	Professional		$146.68	$146.68	$146.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.99 / $53.73 / $89.46	Professional	26	$24.99	$53.73	$89.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $328.00 / $600.92	Professional		$136.44	$328.00	$600.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $120.00 / $170.20	Professional	26	$49.98	$120.00	$170.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.47 / $208.00 / $436.00	Professional	TC	$86.47	$208.00	$436.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $258.67 / $464.42	Professional		$164.36	$258.67	$464.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.23 / $73.78 / $125.22	Professional	26	$52.23	$73.78	$125.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.31 / $196.34 / $331.76	Professional	TC	$105.31	$196.34	$331.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $80.94 / $95.00 / $167.73	Facility	26	$80.94	$95.00	$167.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $553.17	Professional		$145.72	$145.72	$553.17
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $197.58 / $197.58 / $197.58	Professional	26	$197.58	$197.58	$197.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $118.03 / $176.58	Professional		$44.14	$118.03	$176.58
United Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $226.70 / $406.21	Professional		$154.07	$226.70	$406.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $69.58 / $115.46	Professional	26	$51.97	$69.58	$115.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.15 / $165.57 / $307.83	Professional	TC	$98.15	$165.57	$307.83