Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.01 / $86.02 / $109.31	Facility	26	$86.01	$86.02	$109.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.59 / $425.00 / $669.75	Professional		$233.59	$425.00	$669.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.51 / $111.82 / $234.94	Professional	26	$70.51	$111.82	$234.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.05 / $281.41 / $441.00	Professional	TC	$135.05	$281.41	$441.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $175.47 / $188.63	Professional		$144.16	$175.47	$188.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.84 / $70.59 / $117.55	Professional	26	$32.84	$70.59	$117.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $113.70 / $153.72 / $196.54	Professional	TC	$113.70	$153.72	$196.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $460.00 / $781.51	Professional		$176.35	$460.00	$781.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.67 / $180.00 / $258.77	Professional	26	$65.67	$180.00	$258.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.80 / $280.00 / $537.76	Professional	TC	$109.80	$280.00	$537.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.09 / $489.00 / $832.00	Professional		$222.09	$489.00	$832.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.30 / $101.77 / $181.06	Professional	26	$73.30	$101.77	$181.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.69 / $313.07 / $669.52	Professional	TC	$145.69	$313.07	$669.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $115.97 / $155.00 / $227.20	Facility	26	$115.97	$155.00	$227.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $718.92	Professional		$187.72	$187.72	$718.92
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $259.48 / $259.48 / $259.48	Professional	26	$259.48	$259.48	$259.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $130.32 / $212.63	Professional		$63.54	$130.32	$212.63
United Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $302.64 / $717.68	Professional		$204.05	$302.64	$717.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.62 / $91.53 / $151.88	Professional	26	$69.62	$91.53	$151.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.96 / $227.09 / $612.00	Professional	TC	$134.96	$227.09	$612.00