Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $83.18 / $104.71	Facility	26	$61.66	$83.18	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $724.44	Professional		$131.83	$263.03	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $53.70 / $173.78	Professional	26	$41.69	$53.70	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $169.82 / $331.13	Professional	TC	$83.18	$169.82	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $128.82	Professional		$93.33	$100.00	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $45.71 / $75.86	Professional	26	$35.48	$45.71	$75.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $89.13 / $134.90	Professional	TC	$75.86	$89.13	$134.90
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 $46.77 / $104.71 / $162.18	Professional	26	$46.77	$104.71	$162.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $173.78 / $331.13	Professional	TC	$81.28	$173.78	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $489.78	Professional		$154.88	$263.03	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $67.61 / $114.82	Professional	26	$48.98	$67.61	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $199.53 / $346.74	Professional	TC	$100.00	$199.53	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
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 $144.54 / $245.47 / $446.68	Professional		$144.54	$245.47	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $61.66 / $107.15	Professional	26	$46.77	$61.66	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $181.97 / $338.84	Professional	TC	$97.72	$181.97	$338.84