Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.35 / $32.10 / $35.29	Facility	26	$27.35	$32.10	$35.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $148.84 / $314.82	Professional		$131.13	$148.84	$314.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.10 / $49.68 / $198.24	Professional	26	$32.10	$49.68	$198.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.01 / $99.15 / $147.30	Professional	TC	$71.01	$99.15	$147.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $79.09 / $79.09	Professional		$79.09	$79.09	$79.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $42.00 / $42.00	Professional	26	$39.07	$42.00	$42.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $104.90 / $193.55	Professional		$75.00	$104.90	$193.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $59.00 / $107.11	Professional	26	$39.07	$59.00	$107.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $30.60 / $142.90	Professional	TC	$21.00	$30.60	$142.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $83.83 / $188.64	Professional		$61.59	$83.83	$188.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $28.68 / $94.92	Professional	26	$22.08	$28.68	$94.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.64 / $54.67 / $148.49	Professional	TC	$28.64	$54.67	$148.49
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $60.15 / $82.20 / $84.00	Facility	26	$60.15	$82.20	$84.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $140.57 / $194.07	Professional		$41.02	$140.57	$194.07
United Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $110.44 / $257.68	Professional		$87.71	$110.44	$257.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $33.49 / $90.05	Professional	26	$26.21	$33.49	$90.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.50 / $82.94 / $180.82	Professional	TC	$61.50	$82.94	$180.82