Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.79 / $84.79 / $84.79	Facility	26	$84.79	$84.79	$84.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.44 / $440.24 / $630.00	Professional		$287.44	$440.24	$630.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $111.15 / $358.10	Professional	26	$69.48	$111.15	$358.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.94 / $335.00 / $441.00	Professional	TC	$217.94	$335.00	$441.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.79 / $306.95 / $306.95	Professional		$278.79	$306.95	$306.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.43 / $52.43 / $64.73	Professional	26	$52.43	$52.43	$64.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $460.00 / $818.21	Professional		$285.54	$460.00	$818.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $160.00 / $255.08	Professional	26	$64.73	$160.00	$255.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.81 / $300.00 / $537.76	Professional	TC	$220.81	$300.00	$537.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.35 / $543.41 / $925.47	Professional		$406.35	$543.41	$925.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.86 / $94.21 / $178.47	Professional	26	$66.86	$94.21	$178.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $322.06 / $462.04 / $751.70	Professional	TC	$322.06	$462.04	$751.70
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $105.26 / $122.00 / $215.35	Facility	26	$105.26	$122.00	$215.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $1,057.78	Professional		$187.72	$187.72	$1,057.78
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $802.02 / $802.02 / $802.02	Professional	TC	$802.02	$802.02	$802.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $231.17 / $377.11	Professional		$63.54	$231.17	$377.11
United Facility/Professional Professional Modifier Low / Median / High Price $370.54 / $496.52 / $838.22	Professional		$370.54	$496.52	$838.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.20 / $87.60 / $149.71	Professional	26	$66.20	$87.60	$149.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $306.73 / $423.71 / $746.63	Professional	TC	$306.73	$423.71	$746.63