Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.53 / $44.77 / $57.31	Facility	26	$32.53	$44.77	$57.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $121.54 / $440.30	Professional		$57.31	$121.54	$440.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.54 / $35.82 / $140.25	Professional	26	$32.54	$35.82	$140.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.09 / $86.64 / $136.24	Professional	TC	$70.09	$86.64	$136.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $113.43 / $121.94	Professional		$93.33	$113.43	$121.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.66 / $38.51 / $64.12	Professional	26	$28.66	$38.51	$64.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $64.31 / $64.31 / $64.31	Professional	TC	$64.31	$64.31	$64.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $113.43 / $171.84	Professional		$86.00	$113.43	$171.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.00 / $38.00 / $60.97	Professional	26	$30.00	$38.00	$60.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.00 / $77.61 / $117.09	Professional	TC	$56.00	$77.61	$117.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $162.53 / $283.13	Professional		$129.94	$162.53	$283.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.95 / $49.91 / $95.29	Professional	26	$39.95	$49.91	$95.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.94 / $112.63 / $192.73	Professional	TC	$89.94	$112.63	$192.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $44.69 / $80.58 / $119.98	Facility	26	$44.69	$80.58	$119.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $451.09 / $451.09 / $451.09	Professional		$451.09	$451.09	$451.09
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $309.49 / $309.49 / $309.49	Professional	TC	$309.49	$309.49	$309.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $118.03 / $177.87	Professional		$44.14	$118.03	$177.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $163.69 / $252.92	Professional		$125.51	$163.69	$252.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $50.64 / $86.60	Professional	26	$38.51	$50.64	$86.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.55 / $107.07 / $177.70	Professional	TC	$85.55	$107.07	$177.70