Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $63.10 / $91.20	Facility	26	$61.66	$63.10	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $239.88	Professional		$87.10	$109.65	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $66.07 / $131.83	Professional	26	$53.70	$66.07	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $44.67 / $81.28	Professional	TC	$28.18	$44.67	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $177.83	Professional		$95.50	$117.49	$177.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $70.79 / $87.10	Professional	26	$53.70	$70.79	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $165.96	Professional		$100.00	$120.23	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $79.43 / $117.49	Professional	26	$57.54	$79.43	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $41.69 / $54.95	Professional	TC	$33.88	$41.69	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $218.78	Professional		$97.72	$120.23	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $83.18 / $125.89	Professional	26	$67.61	$83.18	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $37.15 / $91.20	Professional	TC	$28.84	$37.15	$91.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $147.91	Professional		$131.83	$131.83	$147.91
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $107.15	Professional	26	$93.33	$93.33	$107.15
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $24.55 / $24.55	Professional	TC	$24.55	$24.55	$24.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $151.36	Professional		$77.62	$95.50	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $104.71	Professional	26	$52.48	$67.61	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.90 / $52.48	Professional	TC	$25.12	$30.90	$52.48