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 $100.00 / $181.97 / $389.05	Professional		$100.00	$181.97	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $151.36	Professional	26	$51.29	$83.18	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $177.83 / $295.12	Professional	TC	$112.20	$177.83	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $309.03	Professional		$165.96	$165.96	$309.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $81.28	Professional	26	$40.74	$51.29	$81.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $102.33 / $144.54	Professional	TC	$102.33	$102.33	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $512.86	Professional		$162.18	$302.00	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $125.89	Professional	26	$53.70	$74.13	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $199.53 / $398.11	Professional	TC	$107.15	$199.53	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $537.03	Professional		$199.53	$295.12	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $123.03	Professional	26	$53.70	$74.13	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $223.87 / $398.11	Professional	TC	$131.83	$223.87	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
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 $181.97 / $281.84 / $501.19	Professional		$181.97	$281.84	$501.19
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 $125.89 / $213.80 / $389.05	Professional	TC	$125.89	$213.80	$389.05