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 / $234.42 / $446.68	Professional		$131.83	$234.42	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $70.79 / $169.82	Professional	26	$43.65	$70.79	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $162.18 / $288.40	Professional	TC	$83.18	$162.18	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $134.90	Professional		$107.15	$107.15	$134.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $44.67 / $74.13	Professional	26	$35.48	$44.67	$74.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $77.62 / $109.65	Professional	TC	$77.62	$77.62	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $501.19	Professional		$128.82	$275.42	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $95.50 / $165.96	Professional	26	$46.77	$95.50	$165.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $158.49 / $316.23	Professional	TC	$81.28	$158.49	$316.23
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 / $66.07 / $114.82	Professional	26	$48.98	$66.07	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $194.98 / $346.74	Professional	TC	$100.00	$194.98	$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 / $104.71	Professional	26	$46.77	$61.66	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $177.83 / $338.84	Professional	TC	$97.72	$177.83	$338.84