Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.99 / $35.99 / $103.47	Facility	26	$35.99	$35.99	$103.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $118.86 / $182.96	Professional		$109.14	$118.86	$182.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $36.79 / $77.36	Professional	26	$29.91	$36.79	$77.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $81.34 / $137.25	Professional	TC	$79.23	$81.34	$137.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $215.53 / $215.53	Professional		$215.53	$215.53	$215.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.08 / $39.61 / $70.92	Professional	26	$32.08	$39.61	$70.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $138.47 / $215.23	Professional		$121.00	$138.47	$215.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $58.50 / $88.76	Professional	26	$39.61	$58.50	$88.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.50 / $83.55 / $130.44	Professional	TC	$62.50	$83.55	$130.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $145.31 / $292.64	Professional		$105.42	$145.31	$292.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $47.17 / $99.92	Professional	26	$34.90	$47.17	$99.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.48 / $101.77 / $192.73	Professional	TC	$73.48	$101.77	$192.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $49.85 / $58.00 / $104.00	Facility	26	$49.85	$58.00	$104.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $515.75	Professional		$145.72	$145.72	$515.75
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $156.62 / $156.62 / $156.62	Professional	26	$156.62	$156.62	$156.62
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 $103.66 / $149.35 / $258.30	Professional		$103.66	$149.35	$258.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.46 / $47.42 / $81.48	Professional	26	$31.46	$47.42	$81.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.68 / $107.08 / $177.70	Professional	TC	$73.68	$107.08	$177.70