Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.99 / $44.99 / $67.15	Facility	26	$44.99	$44.99	$67.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $144.46 / $286.17	Professional		$129.37	$144.46	$286.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.32 / $44.99 / $79.15	Professional	26	$40.32	$44.99	$79.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.50 / $97.11 / $194.12	Professional	TC	$86.50	$97.11	$194.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $219.67 / $219.67	Professional		$219.67	$219.67	$219.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $72.54	Professional	26	$61.66	$61.66	$72.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $253.00 / $432.37	Professional		$122.04	$253.00	$432.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $81.00 / $119.56	Professional	26	$40.29	$81.00	$119.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.73 / $172.00 / $239.22	Professional	TC	$81.73	$172.00	$239.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.02 / $208.80 / $317.01	Professional		$141.02	$208.80	$317.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.28 / $59.78 / $100.58	Professional	26	$48.28	$59.78	$100.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.54 / $143.91 / $214.10	Professional	TC	$92.54	$143.91	$214.10
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.05 / $83.00 / $144.63	Facility	26	$51.05	$83.00	$144.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $498.05 / $498.05 / $498.05	Professional		$498.05	$498.05	$498.05
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $160.34 / $160.34 / $160.34	Professional	26	$160.34	$160.34	$160.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $120.74 / $186.97	Professional		$44.14	$120.74	$186.97
United Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $177.67 / $297.69	Professional		$122.40	$177.67	$297.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.19 / $53.62 / $90.67	Professional	26	$40.19	$53.62	$90.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.23 / $124.25 / $211.91	Professional	TC	$81.23	$124.25	$211.91