Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $104.71	Facility	26	$83.18	$83.18	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $851.14	Professional		$186.21	$295.12	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $97.72 / $363.08	Professional	26	$58.88	$97.72	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $218.78 / $416.87	Professional	TC	$120.23	$218.78	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $302.00	Professional		$138.04	$169.82	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $61.66 / $107.15	Professional	26	$48.98	$61.66	$107.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $112.20 / $154.88	Professional	TC	$83.18	$112.20	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $512.86	Professional		$177.83	$309.03	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $173.78	Professional	26	$64.57	$112.20	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $194.98 / $323.59	Professional	TC	$114.82	$194.98	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $562.34	Professional		$204.17	$302.00	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $87.10 / $144.54	Professional	26	$63.10	$87.10	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $208.93 / $389.05	Professional	TC	$131.83	$208.93	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	26	$128.82	$128.82	$128.82
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 $194.98 / $288.40 / $501.19	Professional		$194.98	$288.40	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $138.04	Professional	26	$63.10	$79.43	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $208.93 / $380.19	Professional	TC	$125.89	$208.93	$380.19