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 $152.04 / $275.00 / $418.76	Professional		$152.04	$275.00	$418.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.04 / $56.43 / $153.01	Professional	26	$44.04	$56.43	$153.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.46 / $192.00 / $283.20	Professional	TC	$83.46	$192.00	$283.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $127.95 / $208.29	Professional		$127.95	$127.95	$208.29
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 $80.59 / $80.59 / $134.96	Professional	TC	$80.59	$80.59	$134.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $340.00 / $540.48	Professional		$119.02	$340.00	$540.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.04 / $143.00 / $185.69	Professional	26	$44.04	$143.00	$185.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.98 / $197.00 / $358.00	Professional	TC	$74.98	$197.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $262.33 / $454.46	Professional		$167.28	$262.33	$454.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.87 / $67.50 / $121.00	Professional	26	$51.87	$67.50	$121.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.55 / $205.76 / $346.68	Professional	TC	$110.55	$205.76	$346.68
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.03 / $97.00 / $171.99	Facility	26	$83.03	$97.00	$171.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $482.23	Professional		$88.83	$88.83	$482.23
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $175.09 / $175.09 / $175.09	Professional	26	$175.09	$175.09	$175.09
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 $148.37 / $233.07 / $417.14	Professional		$148.37	$233.07	$417.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.94 / $65.27 / $102.33	Professional	26	$47.94	$65.27	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.12 / $155.35 / $325.50	Professional	TC	$100.12	$155.35	$325.50