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 / $187.27	Facility	26	$94.26	$94.26	$187.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $475.00 / $1,413.75	Professional		$324.45	$475.00	$1,413.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.88 / $117.58 / $154.00	Professional	26	$77.88	$117.58	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.56 / $335.00 / $418.12	Professional	TC	$246.56	$335.00	$418.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $306.17	Professional		$306.17	$306.17	$306.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.02 / $71.97 / $109.31	Professional	26	$57.02	$71.97	$109.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.81 / $460.00 / $717.68	Professional		$284.81	$460.00	$717.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $72.00 / $107.96	Professional	26	$60.00	$72.00	$107.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $212.84 / $400.00 / $637.54	Professional	TC	$212.84	$400.00	$637.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.74 / $550.62 / $948.29	Professional		$374.74	$550.62	$948.29
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 $287.82 / $464.41 / $791.94	Professional	TC	$287.82	$464.41	$791.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $117.86 / $135.00 / $240.13	Facility	26	$117.86	$135.00	$240.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $417.95 / $417.95 / $1,193.98	Professional		$417.95	$417.95	$1,193.98
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $286.60 / $286.60 / $286.60	Professional	26	$286.60	$286.60	$286.60
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 $342.31 / $487.67 / $884.24	Professional		$342.31	$487.67	$884.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.36 / $100.48 / $166.91	Professional	26	$75.36	$100.48	$166.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.25 / $394.30 / $742.75	Professional	TC	$269.25	$394.30	$742.75