Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.49 / $40.11 / $56.22	Facility	26	$39.49	$40.11	$56.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $225.28 / $747.01	Professional		$175.23	$225.28	$747.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $39.49 / $142.13	Professional	26	$31.53	$39.49	$142.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.29 / $162.49 / $282.39	Professional	TC	$148.29	$162.49	$282.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $180.54 / $293.89	Professional		$135.59	$180.54	$293.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.14 / $49.20 / $62.90	Professional	26	$35.14	$49.20	$62.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $132.80 / $185.92 / $185.92	Professional	TC	$132.80	$185.92	$185.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.94 / $227.46 / $385.12	Professional		$167.94	$227.46	$385.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.14 / $54.00 / $98.57	Professional	26	$35.14	$54.00	$98.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.80 / $173.04 / $283.45	Professional	TC	$132.80	$173.04	$283.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.94 / $253.81 / $385.50	Professional		$193.94	$253.81	$385.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.00 / $41.55 / $74.54	Professional	26	$31.00	$41.55	$74.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $157.10 / $215.19 / $324.11	Professional	TC	$157.10	$215.19	$324.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.07 / $61.18 / $105.72	Facility	26	$36.07	$61.18	$105.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $686.69 / $686.69 / $686.69	Professional		$686.69	$686.69	$686.69
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $140.94 / $140.94 / $140.94	Professional	26	$140.94	$140.94	$140.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $167.23 / $273.40	Professional		$44.14	$167.23	$273.40
United Facility/Professional Professional Modifier Low / Median / High Price $182.37 / $234.08 / $369.78	Professional		$182.37	$234.08	$369.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.11 / $39.10 / $66.84	Professional	26	$29.11	$39.10	$66.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.16 / $194.28 / $323.80	Professional	TC	$144.16	$194.28	$323.80