Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.60 / $21.60 / $37.67	Facility	26	$21.60	$21.60	$37.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $103.47 / $192.99	Professional		$82.81	$103.47	$192.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.60 / $25.39 / $138.55	Professional	26	$21.60	$25.39	$138.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $81.87 / $107.13	Professional	TC	$59.92	$81.87	$107.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.03 / $191.03 / $191.03	Professional		$191.03	$191.03	$191.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $25.32 / $42.15	Professional	26	$18.78	$25.32	$42.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $109.71 / $167.04	Professional		$95.00	$109.71	$167.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.55 / $40.00 / $62.51	Professional	26	$23.55	$40.00	$62.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.97 / $78.14 / $118.14	Professional	TC	$39.97	$78.14	$118.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $127.89 / $246.50	Professional		$78.22	$127.89	$246.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $35.00 / $58.78	Professional	26	$24.38	$35.00	$58.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.84 / $97.53 / $212.62	Professional	TC	$53.84	$97.53	$212.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $38.43 / $45.00 / $77.84	Facility	26	$38.43	$45.00	$77.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $465.08	Professional		$145.72	$145.72	$465.08
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $94.13 / $94.13 / $94.13	Professional	26	$94.13	$94.13	$94.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $118.03 / $177.87	Professional		$44.14	$118.03	$177.87
United Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $134.51 / $230.14	Professional		$79.09	$134.51	$230.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.83 / $31.34 / $51.94	Professional	26	$23.83	$31.34	$51.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.93 / $99.08 / $193.37	Professional	TC	$52.93	$99.08	$193.37