Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $41.69 / $134.90	Facility	26	$40.74	$41.69	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $257.04	Professional		$109.65	$141.25	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $57.54 / $128.82	Professional	26	$33.11	$57.54	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $100.00 / $181.97	Professional	TC	$77.62	$100.00	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $81.28	Professional	26	$37.15	$48.98	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $218.78	Professional		$123.03	$147.91	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $50.12 / $74.13	Professional	26	$45.71	$50.12	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $100.00 / $141.25	Professional	TC	$77.62	$100.00	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $269.15	Professional		$107.15	$169.82	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $48.98 / $77.62	Professional	26	$35.48	$48.98	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $123.03 / $204.17	Professional	TC	$67.61	$123.03	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
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 $120.23 / $158.49 / $295.12	Professional		$120.23	$158.49	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $51.29 / $89.13	Professional	26	$32.36	$51.29	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $114.82 / $194.98	Professional	TC	$89.13	$114.82	$194.98