Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.83 / $23.84 / $56.54	Facility	26	$23.83	$23.84	$56.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $123.15 / $222.42	Professional		$109.93	$123.15	$222.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $23.20 / $40.15	Professional	26	$14.49	$23.20	$40.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.53 / $102.27 / $161.49	Professional	TC	$95.53	$102.27	$161.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $109.31 / $109.31	Professional		$87.45	$109.31	$109.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $38.22 / $38.22	Professional	26	$17.09	$38.22	$38.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $146.54 / $256.70	Professional		$109.31	$146.54	$256.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.36 / $30.00 / $42.62	Professional	26	$21.36	$30.00	$42.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.94 / $120.26 / $186.75	Professional	TC	$87.94	$120.26	$186.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $165.27 / $250.75	Professional		$123.80	$165.27	$250.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.36 / $24.04 / $45.00	Professional	26	$16.36	$24.04	$45.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.59 / $142.33 / $210.44	Professional	TC	$102.59	$142.33	$210.44
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $18.94 / $28.00 / $50.54	Facility	26	$18.94	$28.00	$50.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $445.61 / $445.61 / $445.61	Professional		$445.61	$445.61	$445.61
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $358.98 / $358.98 / $358.98	Professional	TC	$358.98	$358.98	$358.98
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 $114.98 / $151.69 / $245.95	Professional		$114.98	$151.69	$245.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.91 / $23.95 / $41.20	Professional	26	$14.91	$23.95	$41.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.92 / $129.83 / $222.84	Professional	TC	$93.92	$129.83	$222.84