Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $85.11	Facility	26	$83.18	$83.18	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $549.54	Professional		$138.04	$239.88	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $162.18	Professional	26	$52.48	$83.18	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $120.23 / $239.88	Professional	TC	$79.43	$120.23	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $141.25	Professional		$97.72	$102.33	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $52.48 / $93.33	Professional	26	$42.66	$52.48	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	TC	$102.33	$102.33	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $489.78	Professional		$134.90	$288.40	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $120.23 / $177.83	Professional	26	$54.95	$120.23	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $169.82 / $295.12	Professional	TC	$77.62	$169.82	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $457.09	Professional		$147.91	$251.19	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $120.23	Professional	26	$54.95	$75.86	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $181.97 / $316.23	Professional	TC	$87.10	$181.97	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Professional	26	$112.20	$112.20	$112.20
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 $141.25 / $234.42 / $416.87	Professional		$141.25	$234.42	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $69.18 / $120.23	Professional	26	$53.70	$69.18	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $151.36 / $316.23	Professional	TC	$83.18	$151.36	$316.23