Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $83.18 / $91.20	Facility	26	$79.43	$83.18	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $758.58	Professional		$158.49	$257.04	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $199.53	Professional	26	$54.95	$89.13	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $169.82 / $302.00	Professional	TC	$100.00	$169.82	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $263.03	Professional		$147.91	$158.49	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $95.50	Professional	26	$45.71	$56.23	$95.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	TC	$131.83	$131.83	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $446.68	Professional		$154.88	$269.15	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $91.20 / $147.91	Professional	26	$60.26	$91.20	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $147.91 / $288.40	Professional	TC	$95.50	$147.91	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $549.54	Professional		$194.98	$275.42	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $128.82	Professional	26	$58.88	$81.28	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $194.98 / $398.11	Professional	TC	$120.23	$194.98	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $478.63	Professional		$186.21	$275.42	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $74.13 / $128.82	Professional	26	$58.88	$74.13	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $199.53 / $371.54	Professional	TC	$125.89	$199.53	$371.54