Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $89.13 / $114.82	Facility	26	$83.18	$89.13	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $776.25	Professional		$218.78	$309.03	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $190.55	Professional	26	$61.66	$87.10	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $208.93 / $371.54	Professional	TC	$144.54	$208.93	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $223.87	Professional		$169.82	$169.82	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $131.83	Professional	26	$56.23	$79.43	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $616.60	Professional		$213.80	$371.54	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $128.82 / $194.98	Professional	26	$74.13	$128.82	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $239.88 / $398.11	Professional	TC	$141.25	$239.88	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $676.08	Professional		$245.47	$363.08	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $95.50 / $154.88	Professional	26	$66.07	$95.50	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $263.03 / $489.78	Professional	TC	$162.18	$263.03	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	26	$134.90	$134.90	$134.90
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 $229.09 / $346.74 / $602.56	Professional		$229.09	$346.74	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $91.20 / $158.49	Professional	26	$67.61	$91.20	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $257.04 / $467.74	Professional	TC	$151.36	$257.04	$467.74