Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $100.00 / $120.23	Facility	26	$93.33	$100.00	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $1,096.48	Professional		$194.98	$436.52	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $138.04 / $288.40	Professional	26	$77.62	$138.04	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $602.56	Professional	TC	$245.47	$338.84	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $724.44	Professional		$213.80	$309.03	$724.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $134.90	Professional	26	$57.54	$72.44	$134.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $181.97 / $398.11	Professional	TC	$181.97	$181.97	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $707.95	Professional		$309.03	$446.68	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $109.65	Professional	26	$60.26	$77.62	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $354.81 / $602.56	Professional	TC	$229.09	$354.81	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,000.00	Professional		$363.08	$549.54	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $102.33 / $169.82	Professional	26	$74.13	$102.33	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $446.68 / $794.33	Professional	TC	$281.84	$446.68	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
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 $338.84 / $512.86 / $933.25	Professional		$338.84	$512.86	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $93.33 / $158.49	Professional	26	$74.13	$93.33	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $436.52 / $776.25	Professional	TC	$263.03	$436.52	$776.25