Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.21 / $28.22 / $80.45	Facility	26	$28.21	$28.22	$80.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $99.89 / $163.36	Professional		$86.07	$99.89	$163.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.22 / $31.21 / $50.42	Professional	26	$28.22	$31.21	$50.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.53 / $68.67 / $103.57	Professional	TC	$59.53	$68.67	$103.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $170.63 / $170.63	Professional		$170.63	$170.63	$170.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.87 / $31.08 / $35.74	Professional	26	$24.87	$31.08	$35.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $107.25 / $167.04	Professional		$95.00	$107.25	$167.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.08 / $41.00 / $66.68	Professional	26	$31.08	$41.00	$66.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.00 / $69.08 / $103.55	Professional	TC	$54.00	$69.08	$103.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $130.28 / $229.74	Professional		$106.73	$130.28	$229.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.39 / $44.04 / $77.51	Professional	26	$35.39	$44.04	$77.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.69 / $89.85 / $152.22	Professional	TC	$70.69	$89.85	$152.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.68 / $51.68 / $92.25	Facility	26	$51.68	$51.68	$92.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $406.35 / $406.35 / $406.35	Professional		$406.35	$406.35	$406.35
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $122.88 / $122.88 / $122.88	Professional	26	$122.88	$122.88	$122.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $80.55 / $129.73	Professional		$45.28	$80.55	$129.73
United Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $126.99 / $211.80	Professional		$89.53	$126.99	$211.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.56 / $42.28 / $71.15	Professional	26	$32.56	$42.28	$71.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.77 / $93.36 / $140.33	Professional	TC	$64.77	$93.36	$140.33