Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.21 / $27.21 / $48.36	Facility	26	$27.21	$27.21	$48.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $145.22 / $431.11	Professional		$111.49	$145.22	$431.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.21 / $33.97 / $168.21	Professional	26	$27.21	$33.97	$168.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.72 / $91.53 / $178.67	Professional	TC	$70.72	$91.53	$178.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.07 / $152.47 / $195.00	Professional		$127.07	$152.47	$195.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.18 / $36.28 / $54.41	Professional	26	$24.18	$36.28	$54.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $139.78 / $263.11	Professional		$116.00	$139.78	$263.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.23 / $68.00 / $105.70	Professional	26	$30.23	$68.00	$105.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $96.84 / $133.47	Professional	TC	$48.00	$96.84	$133.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $151.47 / $330.79	Professional		$106.73	$151.47	$330.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.09 / $43.86 / $70.00	Professional	26	$32.09	$43.86	$70.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.61 / $105.77 / $276.17	Professional	TC	$68.61	$105.77	$276.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $50.39 / $59.00 / $88.56	Facility	26	$50.39	$59.00	$88.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $497.54	Professional		$88.83	$88.83	$497.54
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $379.22 / $379.22 / $379.22	Professional	TC	$379.22	$379.22	$379.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $130.87 / $226.10	Professional		$44.14	$130.87	$226.10
United Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $155.30 / $281.24	Professional		$114.65	$155.30	$281.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $37.72 / $65.15	Professional	26	$29.01	$37.72	$65.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.45 / $116.09 / $234.32	Professional	TC	$77.45	$116.09	$234.32