Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.95 / $83.00 / $103.75	Facility	26	$79.95	$83.00	$103.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $275.00 / $464.46	Professional		$154.16	$275.00	$464.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.37 / $78.56 / $171.08	Professional	26	$53.37	$78.56	$171.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.02 / $220.00 / $379.60	Professional	TC	$102.02	$220.00	$379.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $150.18 / $150.18	Professional		$139.69	$150.18	$150.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $49.98 / $89.46	Professional	26	$39.97	$49.98	$89.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $305.73 / $488.29	Professional		$139.69	$305.73	$488.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $85.00 / $177.72	Professional	26	$49.98	$85.00	$177.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.72 / $186.67 / $324.10	Professional	TC	$89.72	$186.67	$324.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $296.69 / $514.19	Professional		$167.89	$296.69	$514.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.68 / $76.41 / $136.91	Professional	26	$57.68	$76.41	$136.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.18 / $226.21 / $369.56	Professional	TC	$109.18	$226.21	$369.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $93.99 / $109.00 / $193.83	Facility	26	$93.99	$109.00	$193.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $567.35	Professional		$145.72	$145.72	$567.35
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $370.94 / $370.94 / $370.94	Professional	TC	$370.94	$370.94	$370.94
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 $157.47 / $222.59 / $457.55	Professional		$157.47	$222.59	$457.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.40 / $75.06 / $121.34	Professional	26	$55.40	$75.06	$121.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.36 / $176.63 / $339.36	Professional	TC	$103.36	$176.63	$339.36