Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $83.18 / $107.15	Facility	26	$72.44	$83.18	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $562.34	Professional		$213.80	$275.42	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $173.78	Professional	26	$52.48	$85.11	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $426.58	Professional	TC	$158.49	$218.78	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $91.20	Professional	26	$40.74	$54.95	$91.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	TC	$218.78	$218.78	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $562.34	Professional		$218.78	$338.84	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $100.00 / $147.91	Professional	26	$53.70	$100.00	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $251.19 / $398.11	Professional	TC	$165.96	$251.19	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $575.44	Professional		$229.09	$323.59	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $128.82	Professional	26	$53.70	$74.13	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $251.19 / $416.87	Professional	TC	$169.82	$251.19	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	26	$109.65	$109.65	$109.65
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 $223.87 / $309.03 / $537.03	Professional		$223.87	$309.03	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $117.49	Professional	26	$52.48	$67.61	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $234.42 / $436.52	Professional	TC	$169.82	$234.42	$436.52