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 / $109.44	Facility	26	$83.00	$83.00	$109.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $342.85 / $675.07	Professional		$275.00	$342.85	$675.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $83.00 / $133.61	Professional	26	$68.56	$83.00	$133.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.00 / $274.27 / $553.29	Professional	TC	$192.00	$274.27	$553.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $68.40 / $72.68 / $73.53	Professional	26	$68.40	$72.68	$73.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $362.75 / $565.00	Professional		$302.00	$362.75	$565.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.00 / $71.14 / $107.50	Professional	26	$58.00	$71.14	$107.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $244.00 / $292.80 / $457.51	Professional	TC	$244.00	$292.80	$457.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.32 / $551.41 / $998.61	Professional		$399.32	$551.41	$998.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.81 / $98.05 / $182.05	Professional	26	$79.81	$98.05	$182.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $320.99 / $448.91 / $810.62	Professional	TC	$320.99	$448.91	$810.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $113.13 / $114.18 / $228.36	Facility	26	$113.13	$114.18	$228.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $399.25 / $399.25 / $399.25	Professional		$399.25	$399.25	$399.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $290.24 / $450.02	Professional		$94.64	$290.24	$450.02
United Facility/Professional Professional Modifier Low / Median / High Price $353.44 / $478.18 / $732.96	Professional		$353.44	$478.18	$732.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.11 / $87.43 / $140.12	Professional	26	$68.11	$87.43	$140.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $276.88 / $381.82 / $592.84	Professional	TC	$276.88	$381.82	$592.84