Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.18 / $24.18 / $33.33	Facility	26	$24.18	$24.18	$33.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $98.26 / $190.33	Professional		$85.16	$98.26	$190.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.18 / $26.67 / $64.93	Professional	26	$24.18	$26.67	$64.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.99 / $71.89 / $131.09	Professional	TC	$60.99	$71.89	$131.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $95.12 / $102.25	Professional		$76.09	$95.12	$102.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.67 / $47.74 / $47.74	Professional	26	$26.67	$47.74	$47.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $123.00 / $178.05	Professional		$95.12	$123.00	$178.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.67 / $35.00 / $50.67	Professional	26	$26.67	$35.00	$50.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.45 / $88.00 / $127.39	Professional	TC	$68.45	$88.00	$127.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $125.74 / $210.11	Professional		$104.63	$125.74	$210.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.96 / $37.22 / $59.88	Professional	26	$29.96	$37.22	$59.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.80 / $90.82 / $149.56	Professional	TC	$74.80	$90.82	$149.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $38.35 / $54.85 / $79.73	Facility	26	$38.35	$54.85	$79.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $374.62	Professional		$88.83	$88.83	$374.62
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $105.32 / $105.32 / $105.32	Professional	26	$105.32	$105.32	$105.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $98.86 / $180.58	Professional		$44.14	$98.86	$180.58
United Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $114.29 / $197.01	Professional		$87.77	$114.29	$197.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.04 / $33.35 / $57.06	Professional	26	$25.04	$33.35	$57.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.60 / $82.63 / $139.13	Professional	TC	$63.60	$82.63	$139.13