Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $83.00 / $83.00	Facility	26	$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $178.44 / $275.00	Professional		$122.32	$178.44	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $55.00 / $83.00	Professional	26	$42.14	$55.00	$83.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.72 / $129.29 / $220.00	Professional	TC	$76.72	$129.29	$220.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.18 / $45.34 / $75.50	Professional	26	$42.18	$45.34	$75.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $223.00 / $355.59	Professional		$120.11	$223.00	$355.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.18 / $69.00 / $122.73	Professional	26	$42.18	$69.00	$122.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.93 / $154.00 / $231.85	Professional	TC	$77.93	$154.00	$231.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $204.26 / $342.30	Professional		$145.11	$204.26	$342.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.69 / $63.16 / $116.51	Professional	26	$44.69	$63.16	$116.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.09 / $138.24 / $232.37	Professional	TC	$95.09	$138.24	$232.37
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $70.11 / $89.50 / $142.04	Facility	26	$70.11	$89.50	$142.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $450.14 / $450.14 / $450.14	Professional		$450.14	$450.14	$450.14
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $167.84 / $167.84 / $167.84	Professional	26	$167.84	$167.84	$167.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $118.03 / $176.54	Professional		$44.14	$118.03	$176.54
United Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $192.30 / $315.69	Professional		$135.97	$192.30	$315.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.50 / $64.27 / $98.79	Professional	26	$44.50	$64.27	$98.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.06 / $125.91 / $214.37	Professional	TC	$89.06	$125.91	$214.37