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 / $114.20	Facility	26	$83.00	$83.00	$114.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.85 / $287.39 / $621.13	Professional		$225.85	$287.39	$621.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $83.00 / $128.21	Professional	26	$55.00	$83.00	$128.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.94 / $220.00 / $456.29	Professional	TC	$148.94	$220.00	$456.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $166.61 / $354.80	Professional		$166.61	$166.61	$354.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.10 / $71.38 / $127.77	Professional	26	$57.10	$71.38	$127.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.74 / $412.00 / $647.34	Professional		$202.74	$412.00	$647.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.38 / $142.00 / $201.73	Professional	26	$71.38	$142.00	$201.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.36 / $270.00 / $449.84	Professional	TC	$131.36	$270.00	$449.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.23 / $365.73 / $618.82	Professional		$245.23	$365.73	$618.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.63 / $96.87 / $196.78	Professional	26	$66.63	$96.87	$196.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.94 / $282.50 / $473.00	Professional	TC	$162.94	$282.50	$473.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $104.39 / $121.00 / $218.65	Facility	26	$104.39	$121.00	$218.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $831.13	Professional		$145.72	$145.72	$831.13
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $283.07 / $283.07 / $283.07	Professional	26	$283.07	$283.07	$283.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $150.80 / $279.41	Professional		$96.53	$150.80	$279.41
United Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $336.25 / $571.41	Professional		$229.97	$336.25	$571.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.76 / $98.82 / $164.71	Professional	26	$67.76	$98.82	$164.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.75 / $242.12 / $447.47	Professional	TC	$152.75	$242.12	$447.47