Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.68 / $69.68 / $87.10	Facility	26	$69.68	$69.68	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.08 / $425.00 / $598.50	Professional		$235.08	$425.00	$598.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.32 / $90.58 / $189.00	Professional	26	$57.32	$90.58	$189.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $422.10	Professional	TC	$187.50	$335.00	$422.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $162.10 / $344.51	Professional		$162.10	$162.10	$344.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.87 / $56.80 / $94.58	Professional	26	$41.87	$56.80	$94.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $144.02 / $201.63 / $201.63	Professional	TC	$144.02	$201.63	$201.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.84 / $325.00 / $616.09	Professional		$197.84	$325.00	$616.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.84 / $79.00 / $105.66	Professional	26	$52.84	$79.00	$105.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.02 / $246.00 / $437.57	Professional	TC	$144.02	$246.00	$437.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $514.40 / $839.68	Professional		$266.88	$514.40	$839.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.20 / $79.00 / $146.69	Professional	26	$55.20	$79.00	$146.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.23 / $408.30 / $730.53	Professional	TC	$196.23	$408.30	$730.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $86.39 / $116.00 / $177.30	Facility	26	$86.39	$116.00	$177.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $807.47	Professional		$187.72	$187.72	$807.47
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $596.53 / $596.53 / $596.53	Professional	TC	$596.53	$596.53	$596.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $183.60 / $274.57	Professional		$44.14	$183.60	$274.57
United Facility/Professional Professional Modifier Low / Median / High Price $238.33 / $399.15 / $810.74	Professional		$238.33	$399.15	$810.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.63 / $73.62 / $122.52	Professional	26	$54.63	$73.62	$122.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.29 / $301.89 / $730.82	Professional	TC	$178.29	$301.89	$730.82