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 / $83.00	Facility	26	$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.26 / $316.75 / $687.86	Professional		$255.26	$316.75	$687.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $83.00 / $166.37	Professional	26	$55.00	$83.00	$166.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.49 / $220.00 / $509.48	Professional	TC	$169.49	$220.00	$509.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.99 / $260.99 / $260.99	Professional		$260.99	$260.99	$260.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.33 / $86.44 / $143.93	Professional	26	$64.33	$86.44	$143.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $227.32 / $227.32 / $227.32	Professional	TC	$227.32	$227.32	$227.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.78 / $452.00 / $651.04	Professional		$242.78	$452.00	$651.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.41 / $127.66 / $196.70	Professional	26	$80.41	$127.66	$196.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.37 / $302.00 / $439.26	Professional	TC	$162.37	$302.00	$439.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.11 / $497.70 / $919.35	Professional		$316.11	$497.70	$919.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.13 / $113.16 / $203.00	Professional	26	$87.13	$113.16	$203.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.17 / $384.00 / $681.66	Professional	TC	$224.17	$384.00	$681.66
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $136.28 / $158.00 / $266.36	Facility	26	$136.28	$158.00	$266.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $939.36	Professional		$145.72	$145.72	$939.36
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $623.72 / $623.72 / $623.72	Professional	TC	$623.72	$623.72	$623.72
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 $302.86 / $448.67 / $786.38	Professional		$302.86	$448.67	$786.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.48 / $109.16 / $185.27	Professional	26	$83.48	$109.16	$185.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.55 / $334.52 / $578.55	Professional	TC	$213.55	$334.52	$578.55