Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $87.10	Facility	26	$83.18	$83.18	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $426.58	Professional		$169.82	$251.19	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $81.28 / $186.21	Professional	26	$53.70	$81.28	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $173.78 / $295.12	Professional	TC	$114.82	$173.78	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $53.70 / $97.72	Professional	26	$43.65	$53.70	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $562.34	Professional		$165.96	$354.81	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $123.03 / $204.17	Professional	26	$57.54	$123.03	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $199.53 / $346.74	Professional	TC	$109.65	$199.53	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $575.44	Professional		$204.17	$309.03	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $77.62 / $134.90	Professional	26	$56.23	$77.62	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $239.88 / $436.52	Professional	TC	$134.90	$239.88	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	26	$114.82	$114.82	$114.82
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 $186.21 / $295.12 / $537.03	Professional		$186.21	$295.12	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $123.03	Professional	26	$54.95	$70.79	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $223.87 / $426.58	Professional	TC	$125.89	$223.87	$426.58