Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $309.03	Professional		$95.50	$144.54	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $47.86 / $107.15	Professional	26	$34.67	$47.86	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $87.10 / $125.89	Professional	TC	$58.88	$87.10	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $151.36	Professional		$97.72	$141.25	$151.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	26	$77.62	$77.62	$77.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	50	$154.88	$154.88	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $223.87	Professional		$112.20	$158.49	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $56.23 / $87.10	Professional	26	$41.69	$56.23	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $112.20 / $158.49	Professional	TC	$47.86	$112.20	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $223.87	Professional		$93.33	$144.54	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $51.29 / $83.18	Professional	26	$38.02	$51.29	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $93.33 / $144.54	Professional	TC	$54.95	$93.33	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $190.55	Professional		$95.50	$123.03	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $72.44	Professional	26	$38.02	$46.77	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $74.13 / $120.23	Professional	TC	$54.95	$74.13	$120.23