Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $47.86 / $5,011.87	Facility	26	$31.62	$47.86	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $446.68	Professional		$190.55	$275.42	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $46.77 / $95.50	Professional	26	$30.90	$46.77	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $218.78 / $371.54	Professional	TC	$154.88	$218.78	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $323.59	Professional		$186.21	$204.17	$323.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $53.70	Professional	26	$28.18	$38.02	$53.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	TC	$309.03	$309.03	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $323.59	Professional		$144.54	$263.03	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $50.12 / $97.72	Professional	26	$37.15	$50.12	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $213.80 / $281.84	Professional	TC	$74.13	$213.80	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $446.68	Professional		$186.21	$295.12	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $67.61	Professional	26	$38.02	$48.98	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $245.47 / $371.54	Professional	TC	$144.54	$245.47	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Professional	26	$67.61	$67.61	$67.61
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 $158.49 / $281.84 / $426.58	Professional		$158.49	$281.84	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $42.66 / $72.44	Professional	26	$32.36	$42.66	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $245.47 / $371.54	Professional	TC	$125.89	$245.47	$371.54