Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.32 / $40.33 / $68.00	Facility	26	$40.32	$40.33	$68.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $284.67 / $460.31	Professional		$261.00	$284.67	$460.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.33 / $42.82 / $72.19	Professional	26	$40.33	$42.82	$72.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.67 / $241.85 / $391.96	Professional	TC	$220.67	$241.85	$391.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.51 / $44.39 / $47.72	Professional	26	$35.51	$44.39	$47.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.24 / $291.10 / $439.33	Professional		$277.24	$291.10	$439.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $100.00 / $152.35	Professional	26	$44.39	$100.00	$152.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.00 / $232.86 / $318.44	Professional	TC	$181.00	$232.86	$318.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.77 / $393.68 / $666.49	Professional		$273.77	$393.68	$666.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.90 / $65.64 / $101.91	Professional	26	$46.90	$65.64	$101.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.59 / $325.45 / $570.03	Professional	TC	$215.59	$325.45	$570.03
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $72.45 / $86.00 / $148.27	Facility	26	$72.45	$86.00	$148.27
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 / $270.01 / $362.92	Professional		$41.02	$270.01	$362.92
United Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $379.60 / $582.64	Professional		$281.33	$379.60	$582.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.45 / $59.67 / $94.72	Professional	26	$46.45	$59.67	$94.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.48 / $307.44 / $491.34	Professional	TC	$233.48	$307.44	$491.34