Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $91.20 / $109.65	Facility	26	$83.18	$91.20	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $1,047.13	Professional		$199.53	$426.58	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $125.89 / $302.00	Professional	26	$64.57	$125.89	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $275.42 / $446.68	Professional	TC	$131.83	$275.42	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $338.84	Professional		$151.36	$173.78	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $114.82	Professional	26	$52.48	$67.61	$114.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $162.18 / $162.18	Professional	TC	$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $416.87 / $691.83	Professional		$190.55	$416.87	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $128.82 / $223.87	Professional	26	$67.61	$128.82	$223.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $263.03 / $436.52	Professional	TC	$123.03	$263.03	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $851.14	Professional		$234.42	$457.09	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $93.33 / $162.18	Professional	26	$67.61	$93.33	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $338.84 / $660.69	Professional	TC	$154.88	$338.84	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	26	$134.90	$134.90	$134.90
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 $213.80 / $407.38 / $794.33	Professional		$213.80	$407.38	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $141.25	Professional	26	$66.07	$83.18	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $288.40 / $676.08	Professional	TC	$141.25	$288.40	$676.08