Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $83.18 / $104.71	Facility	26	$64.57	$83.18	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $724.44	Professional		$128.82	$245.47	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $57.54 / $186.21	Professional	26	$46.77	$57.54	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $162.18 / $331.13	Professional	TC	$77.62	$162.18	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $218.78	Professional		$100.00	$128.82	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $46.77 / $81.28	Professional	26	$38.90	$46.77	$81.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $74.13 / $109.65	Professional	TC	$34.67	$74.13	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $512.86	Professional		$128.82	$302.00	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $107.15 / $165.96	Professional	26	$50.12	$107.15	$165.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $190.55 / $316.23	Professional	TC	$79.43	$190.55	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $478.63	Professional		$158.49	$263.03	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $117.49	Professional	26	$52.48	$69.18	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $194.98 / $346.74	Professional	TC	$97.72	$194.98	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Professional	26	$93.33	$93.33	$93.33
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 $147.91 / $245.47 / $457.09	Professional		$147.91	$245.47	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $112.20	Professional	26	$48.98	$66.07	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $173.78 / $338.84	Professional	TC	$93.33	$173.78	$338.84