Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.00 / $34.01 / $58.89	Facility	26	$34.00	$34.01	$58.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.82 / $244.15 / $483.20	Professional		$222.82	$244.15	$483.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.01 / $36.75 / $75.38	Professional	26	$34.01	$36.75	$75.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $188.81 / $192.87 / $258.20	Professional	TC	$188.81	$192.87	$258.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $194.88 / $253.78	Professional		$194.88	$194.88	$253.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $37.44 / $40.25	Professional	26	$29.95	$37.44	$40.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.07 / $260.39 / $435.10	Professional		$236.07	$260.39	$435.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.44 / $95.00 / $129.03	Professional	26	$37.44	$95.00	$129.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.00 / $198.67 / $295.39	Professional	TC	$153.00	$198.67	$295.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.23 / $302.50 / $483.71	Professional		$215.23	$302.50	$483.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.85 / $55.26 / $86.19	Professional	26	$39.85	$55.26	$86.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.38 / $241.19 / $402.58	Professional	TC	$175.38	$241.19	$402.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $61.31 / $73.00 / $134.00	Facility	26	$61.31	$73.00	$134.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $239.07 / $320.79	Professional		$41.02	$239.07	$320.79
United Facility/Professional Professional Modifier Low / Median / High Price $211.65 / $315.18 / $529.13	Professional		$211.65	$315.18	$529.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $50.03 / $87.02	Professional	26	$39.29	$50.03	$87.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.21 / $252.36 / $421.77	Professional	TC	$171.21	$252.36	$421.77