Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.32 / $39.32 / $49.14	Facility	26	$39.32	$39.32	$49.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $208.11 / $560.00	Professional		$135.80	$208.11	$560.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.69 / $57.14 / $186.40	Professional	26	$37.69	$57.14	$186.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.75 / $150.93 / $246.17	Professional	TC	$99.75	$150.93	$246.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.27 / $132.27 / $264.73	Professional		$132.27	$132.27	$264.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.00 / $63.01 / $63.01	Professional	26	$28.00	$63.01	$63.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.27 / $213.00 / $341.78	Professional		$132.27	$213.00	$341.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.20 / $69.00 / $95.45	Professional	26	$35.20	$69.00	$95.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.07 / $144.00 / $225.11	Professional	TC	$97.07	$144.00	$225.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $225.39 / $324.43	Professional		$161.97	$225.39	$324.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $65.06 / $90.21	Professional	26	$40.65	$65.06	$90.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.00 / $162.19 / $243.23	Professional	TC	$121.00	$162.19	$243.23
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $63.99 / $104.62 / $108.80	Facility	26	$63.99	$104.62	$108.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $519.40 / $519.40 / $519.40	Professional		$519.40	$519.40	$519.40
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $380.25 / $380.25 / $380.25	Professional	TC	$380.25	$380.25	$380.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $130.87 / $227.07	Professional		$44.14	$130.87	$227.07
United Facility/Professional Professional Modifier Low / Median / High Price $146.56 / $207.57 / $328.37	Professional		$146.56	$207.57	$328.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.70 / $55.26 / $91.72	Professional	26	$36.70	$55.26	$91.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.21 / $144.02 / $234.43	Professional	TC	$110.21	$144.02	$234.43