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 / $142.27	Facility	26	$83.00	$83.00	$142.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $388.85 / $1,787.49	Professional		$275.00	$388.85	$1,787.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.00 / $95.23 / $230.88	Professional	26	$83.00	$95.23	$230.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.00 / $304.31 / $535.46	Professional	TC	$192.00	$304.31	$535.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.45 / $309.14 / $541.00	Professional		$254.45	$309.14	$541.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $94.33 / $159.16	Professional	26	$72.04	$94.33	$159.16
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $220.22 / $262.06 / $308.31	Professional	TC	$220.22	$262.06	$308.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $928.00 / $1,266.00	Professional		$309.14	$928.00	$1,266.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.92 / $274.00 / $359.30	Professional	26	$88.92	$274.00	$359.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.22 / $654.00 / $869.30	Professional	TC	$220.22	$654.00	$869.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.21 / $486.13 / $874.87	Professional		$355.21	$486.13	$874.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.58 / $124.79 / $227.32	Professional	26	$99.58	$124.79	$227.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.44 / $357.74 / $638.66	Professional	TC	$253.44	$357.74	$638.66
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $142.26 / $143.69 / $294.52	Facility	26	$142.26	$143.69	$294.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.42 / $300.42 / $1,290.91	Professional		$300.42	$300.42	$1,290.91
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $940.46 / $940.46 / $940.46	Professional	TC	$940.46	$940.46	$940.46
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 $344.41 / $500.48 / $795.47	Professional		$344.41	$500.48	$795.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.29 / $123.49 / $204.94	Professional	26	$94.29	$123.49	$204.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.62 / $325.25 / $533.29	Professional	TC	$245.62	$325.25	$533.29