Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.59 / $124.59 / $153.19	Facility	26	$124.59	$124.59	$153.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $475.00 / $738.63	Professional		$343.00	$475.00	$738.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $140.00 / $209.32	Professional	26	$85.00	$140.00	$209.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.87 / $348.53 / $542.08	Professional	TC	$297.87	$348.53	$542.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $350.23 / $376.50 / $376.50	Professional		$350.23	$376.50	$376.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.59 / $101.54 / $171.39	Professional	26	$76.59	$101.54	$171.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $356.27 / $356.27 / $356.27	Professional	TC	$356.27	$356.27	$356.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.23 / $660.00 / $1,173.96	Professional		$350.23	$660.00	$1,173.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.75 / $150.33 / $218.99	Professional	26	$95.75	$150.33	$218.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $254.48 / $493.00 / $943.32	Professional	TC	$254.48	$493.00	$943.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.69 / $766.14 / $1,449.59	Professional		$461.69	$766.14	$1,449.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.57 / $137.25 / $262.25	Professional	26	$98.57	$137.25	$262.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $347.65 / $634.39 / $1,148.51	Professional	TC	$347.65	$634.39	$1,148.51
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $153.65 / $179.00 / $315.36	Facility	26	$153.65	$179.00	$315.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.42 / $300.42 / $1,471.41	Professional		$300.42	$300.42	$1,471.41
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $1,096.16 / $1,096.16 / $1,096.16	Professional	TC	$1,096.16	$1,096.16	$1,096.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $290.24 / $475.77	Professional		$96.53	$290.24	$475.77
United Facility/Professional Professional Modifier Low / Median / High Price $430.97 / $614.21 / $1,274.19	Professional		$430.97	$614.21	$1,274.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.17 / $126.97 / $219.50	Professional	26	$89.17	$126.97	$219.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $320.74 / $502.50 / $1,060.08	Professional	TC	$320.74	$502.50	$1,060.08