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 / $93.33	Facility	26	$83.18	$83.18	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $501.19	Professional		$194.98	$275.42	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $151.36	Professional	26	$54.95	$75.86	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $190.55 / $363.08	Professional	TC	$134.90	$190.55	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $177.83	Professional		$107.15	$158.49	$177.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $54.95 / $93.33	Professional	26	$43.65	$54.95	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $114.82 / $204.17	Professional	TC	$102.33	$114.82	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $436.52 / $724.44	Professional		$190.55	$436.52	$724.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $128.82 / $213.80	Professional	26	$58.88	$128.82	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $281.84 / $478.63	Professional	TC	$131.83	$281.84	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $707.95	Professional		$229.09	$380.19	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $144.54	Professional	26	$60.26	$87.10	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $295.12 / $537.03	Professional	TC	$158.49	$295.12	$537.03
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 $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 $218.78 / $363.08 / $660.69	Professional		$218.78	$363.08	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $79.43 / $134.90	Professional	26	$60.26	$79.43	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $269.15 / $524.81	Professional	TC	$151.36	$269.15	$524.81