Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $125.89 / $147.91	Facility	26	$123.03	$125.89	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $478.63 / $1,445.44	Professional		$186.21	$478.63	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $154.88 / $323.59	Professional	26	$100.00	$154.88	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $363.08 / $954.99	Professional	TC	$281.84	$363.08	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $380.19	Professional		$302.00	$380.19	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $97.72 / $169.82	Professional	26	$75.86	$97.72	$169.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	TC	$363.08	$363.08	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $1,023.29	Professional		$371.54	$467.74	$1,023.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $134.90 / $194.98	Professional	26	$97.72	$134.90	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $323.59 / $776.25	Professional	TC	$275.42	$323.59	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $1,479.11	Professional		$457.09	$741.31	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $213.80	Professional	26	$97.72	$128.82	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $575.44 / $1,202.26	Professional	TC	$338.84	$575.44	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	26	$204.17	$204.17	$204.17
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 $426.58 / $707.95 / $1,380.38	Professional		$426.58	$707.95	$1,380.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $123.03 / $208.93	Professional	26	$97.72	$123.03	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $537.03 / $1,122.02	Professional	TC	$316.23	$537.03	$1,122.02