Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $83.00 / $216.96	Facility	26	$83.00	$83.00	$216.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $275.08 / $624.48	Professional		$222.93	$275.08	$624.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $89.18 / $326.33	Professional	26	$55.00	$89.18	$326.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.13 / $220.00 / $508.96	Professional	TC	$169.13	$220.00	$508.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.72 / $83.59 / $125.28	Professional	26	$67.72	$83.59	$125.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.93 / $336.00 / $573.91	Professional		$245.93	$336.00	$573.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.59 / $127.66 / $188.83	Professional	26	$83.59	$127.66	$188.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.33 / $201.60 / $369.75	Professional	TC	$162.33	$201.60	$369.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.88 / $503.80 / $872.92	Professional		$349.88	$503.80	$872.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.82 / $113.34 / $224.90	Professional	26	$87.82	$113.34	$224.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.56 / $393.11 / $666.35	Professional	TC	$252.56	$393.11	$666.35
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $124.00 / $158.00 / $275.88	Facility	26	$124.00	$158.00	$275.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $950.58	Professional		$145.72	$145.72	$950.58
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $218.58 / $218.58 / $1,425.87	Professional	50	$218.58	$218.58	$1,425.87
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $622.40 / $622.40 / $622.40	Professional	TC	$622.40	$622.40	$622.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $178.71 / $320.65	Professional		$96.53	$178.71	$320.65
United Facility/Professional Professional Modifier Low / Median / High Price $332.48 / $469.17 / $772.35	Professional		$332.48	$469.17	$772.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.40 / $114.01 / $191.95	Professional	26	$86.40	$114.01	$191.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.53 / $344.37 / $606.01	Professional	TC	$240.53	$344.37	$606.01