Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $38.61 / $53.12	Facility	26	$38.61	$38.61	$53.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $189.22 / $344.91	Professional		$172.82	$189.22	$344.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.61 / $41.37 / $65.47	Professional	26	$38.61	$41.37	$65.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.19 / $147.85 / $268.69	Professional	TC	$134.19	$147.85	$268.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $152.74 / $152.74	Professional		$152.74	$152.74	$152.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.69 / $45.69 / $45.69	Professional	26	$45.69	$45.69	$45.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $311.00 / $409.07	Professional		$185.31	$311.00	$409.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.50 / $87.00 / $122.50	Professional	26	$42.50	$87.00	$122.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.81 / $224.00 / $297.74	Professional	TC	$142.81	$224.00	$297.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.54 / $289.43 / $466.71	Professional		$241.54	$289.43	$466.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.06 / $63.70 / $100.54	Professional	26	$46.06	$63.70	$100.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.78 / $224.75 / $372.77	Professional	TC	$185.78	$224.75	$372.77
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.00 / $84.00 / $149.82	Facility	26	$82.00	$84.00	$149.82
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 / $176.80 / $237.54	Professional		$41.02	$176.80	$237.54
United Facility/Professional Professional Modifier Low / Median / High Price $211.45 / $269.45 / $443.23	Professional		$211.45	$269.45	$443.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.50 / $57.76 / $93.84	Professional	26	$44.50	$57.76	$93.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.43 / $201.54 / $348.40	Professional	TC	$156.43	$201.54	$348.40