Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $83.18 / $104.71	Facility	26	$44.67	$83.18	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $426.58	Professional		$70.79	$97.72	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $44.67 / $138.04	Professional	26	$35.48	$44.67	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $50.12 / $218.78	Professional	TC	$32.36	$50.12	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $151.36	Professional		$54.95	$72.44	$151.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.02 / $63.10	Professional	26	$28.84	$38.02	$63.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $33.88 / $42.66	Professional	TC	$33.88	$33.88	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $263.03	Professional		$77.62	$144.54	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $47.86 / $69.18	Professional	26	$37.15	$47.86	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $69.18 / $181.97	Professional	TC	$38.90	$69.18	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $204.17	Professional		$70.79	$109.65	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $47.86 / $79.43	Professional	26	$36.31	$47.86	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $56.23 / $144.54	Professional	TC	$31.62	$56.23	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	26	$74.13	$74.13	$74.13
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 $69.18 / $104.71 / $199.53	Professional		$69.18	$104.71	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $45.71 / $79.43	Professional	26	$36.31	$45.71	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $56.23 / $144.54	Professional	TC	$30.20	$56.23	$144.54