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 / $102.92	Facility	26	$83.00	$83.00	$102.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $275.00 / $368.92	Professional		$152.54	$275.00	$368.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $67.38 / $111.51	Professional	26	$55.00	$67.38	$111.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.47 / $192.00 / $291.63	Professional	TC	$93.47	$192.00	$291.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $148.72 / $148.72	Professional		$148.72	$148.72	$148.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.50 / $56.87 / $101.80	Professional	26	$45.50	$56.87	$101.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.35 / $297.00 / $506.68	Professional		$138.35	$297.00	$506.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.87 / $124.00 / $176.16	Professional	26	$56.87	$124.00	$176.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.48 / $173.00 / $307.72	Professional	TC	$81.48	$173.00	$307.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $252.77 / $424.05	Professional		$165.09	$252.77	$424.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.06 / $84.50 / $156.88	Professional	26	$59.06	$84.50	$156.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.99 / $184.21 / $307.76	Professional	TC	$99.99	$184.21	$307.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $91.80 / $107.00 / $188.62	Facility	26	$91.80	$107.00	$188.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $561.35	Professional		$88.83	$88.83	$561.35
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $224.66 / $224.66 / $224.66	Professional	26	$224.66	$224.66	$224.66
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 $155.19 / $232.80 / $403.83	Professional		$155.19	$232.80	$403.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.31 / $83.05 / $133.22	Professional	26	$60.31	$83.05	$133.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.71 / $159.02 / $286.52	Professional	TC	$93.71	$159.02	$286.52