Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.26 / $83.00 / $102.92	Facility	26	$68.26	$83.00	$102.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $275.00 / $691.05	Professional		$153.63	$275.00	$691.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.84 / $62.14 / $338.40	Professional	26	$43.84	$62.14	$338.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.07 / $192.00 / $261.00	Professional	TC	$93.07	$192.00	$261.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $119.61 / $128.58	Professional		$98.25	$119.61	$128.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $46.72 / $78.83	Professional	26	$35.19	$46.72	$78.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $81.23 / $105.80 / $105.80	Professional	TC	$81.23	$105.80	$105.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $340.00 / $540.48	Professional		$119.61	$340.00	$540.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.04 / $117.00 / $166.60	Professional	26	$44.04	$117.00	$166.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.56 / $223.00 / $395.08	Professional	TC	$75.56	$223.00	$395.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.03 / $263.02 / $463.37	Professional		$168.03	$263.02	$463.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.00 / $68.27 / $121.00	Professional	26	$53.00	$68.27	$121.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.31 / $205.76 / $349.21	Professional	TC	$111.31	$205.76	$349.21
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.78 / $110.69 / $171.99	Facility	26	$83.78	$110.69	$171.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $484.62	Professional		$88.83	$88.83	$484.62
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $309.49 / $309.49 / $309.49	Professional	TC	$309.49	$309.49	$309.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $118.03 / $176.54	Professional		$44.14	$118.03	$176.54
United Facility/Professional Professional Modifier Low / Median / High Price $146.12 / $205.49 / $409.79	Professional		$146.12	$205.49	$409.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.69 / $68.08 / $102.33	Professional	26	$48.69	$68.08	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.72 / $157.97 / $325.50	Professional	TC	$98.72	$157.97	$325.50