Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.01 / $83.00 / $133.88	Facility	26	$79.01	$83.00	$133.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $275.00 / $434.90	Professional		$171.00	$275.00	$434.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $70.14 / $102.92	Professional	26	$50.07	$70.14	$102.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.94 / $220.00 / $364.76	Professional	TC	$149.94	$220.00	$364.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.30 / $196.30 / $196.30	Professional		$196.30	$196.30	$196.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.00 / $55.09 / $91.74	Professional	26	$41.00	$55.09	$91.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.60 / $340.00 / $547.05	Professional		$182.60	$340.00	$547.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $76.88 / $158.75	Professional	26	$51.25	$76.88	$158.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.36 / $264.00 / $388.30	Professional	TC	$131.36	$264.00	$388.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.77 / $302.31 / $535.45	Professional		$223.77	$302.31	$535.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.00 / $76.98 / $141.47	Professional	26	$53.00	$76.98	$141.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.37 / $234.68 / $394.90	Professional	TC	$164.37	$234.68	$394.90
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.78 / $97.00 / $171.99	Facility	26	$83.78	$97.00	$171.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.26 / $254.26 / $753.15	Professional		$254.26	$254.26	$753.15
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $201.41 / $201.41 / $201.41	Professional	26	$201.41	$201.41	$201.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $161.11 / $253.05	Professional		$44.14	$161.11	$253.05
United Facility/Professional Professional Modifier Low / Median / High Price $209.05 / $293.70 / $483.62	Professional		$209.05	$293.70	$483.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.27 / $71.03 / $118.39	Professional	26	$53.27	$71.03	$118.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.72 / $214.00 / $376.18	Professional	TC	$151.72	$214.00	$376.18