Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.26 / $94.26 / $116.88	Facility	26	$94.26	$94.26	$116.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.08 / $475.00 / $3,443.35	Professional		$278.08	$475.00	$3,443.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.88 / $117.58 / $220.80	Professional	26	$77.88	$117.58	$220.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.92 / $335.00 / $417.08	Professional	TC	$245.92	$335.00	$417.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.33 / $283.33 / $304.58	Professional		$283.33	$283.33	$304.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.29 / $76.33 / $128.83	Professional	26	$58.29	$76.33	$128.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.33 / $460.00 / $756.26	Professional		$283.33	$460.00	$756.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.97 / $119.79 / $181.79	Professional	26	$71.97	$119.79	$181.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $211.36 / $320.00 / $591.16	Professional	TC	$211.36	$320.00	$591.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.97 / $547.54 / $927.63	Professional		$372.97	$547.54	$927.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.41 / $104.49 / $198.40	Professional	26	$74.41	$104.49	$198.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $287.07 / $464.41 / $772.27	Professional	TC	$287.07	$464.41	$772.27
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $115.86 / $135.00 / $240.13	Facility	26	$115.86	$135.00	$240.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,191.58	Professional		$416.87	$416.87	$1,191.58
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $904.99 / $904.99 / $904.99	Professional	TC	$904.99	$904.99	$904.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $243.45 / $407.48	Professional		$96.53	$243.45	$407.48
United Facility/Professional Professional Modifier Low / Median / High Price $341.65 / $492.97 / $854.19	Professional		$341.65	$492.97	$854.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.88 / $97.68 / $166.91	Professional	26	$73.88	$97.68	$166.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $267.61 / $387.32 / $759.56	Professional	TC	$267.61	$387.32	$759.56