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 / $94.17	Facility	26	$83.00	$83.00	$94.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.28 / $275.00 / $427.97	Professional		$200.28	$275.00	$427.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $65.90 / $90.03	Professional	26	$55.00	$65.90	$90.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.59 / $214.95 / $353.66	Professional	TC	$140.59	$214.95	$353.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $147.75 / $147.75	Professional		$147.75	$147.75	$147.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.16 / $55.31 / $63.61	Professional	26	$44.16	$55.31	$63.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $485.00 / $787.50	Professional		$179.58	$485.00	$787.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.31 / $170.00 / $227.38	Professional	26	$55.31	$170.00	$227.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.27 / $315.00 / $501.54	Professional	TC	$124.27	$315.00	$501.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.79 / $386.17 / $675.00	Professional		$233.79	$386.17	$675.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.51 / $86.57 / $152.66	Professional	26	$63.51	$86.57	$152.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.31 / $315.45 / $542.03	Professional	TC	$163.31	$315.45	$542.03
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $99.69 / $115.00 / $204.48	Facility	26	$99.69	$115.00	$204.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $737.03	Professional		$145.72	$145.72	$737.03
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $219.66 / $219.66 / $219.66	Professional	26	$219.66	$219.66	$219.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $161.11 / $253.05	Professional		$44.14	$161.11	$253.05
United Facility/Professional Professional Modifier Low / Median / High Price $217.67 / $343.02 / $634.24	Professional		$217.67	$343.02	$634.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.33 / $84.76 / $140.75	Professional	26	$63.33	$84.76	$140.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.81 / $257.06 / $494.37	Professional	TC	$152.81	$257.06	$494.37