Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.76 / $58.76 / $138.19	Facility	26	$58.76	$58.76	$138.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.94 / $421.22 / $677.16	Professional		$338.94	$421.22	$677.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.42 / $62.11 / $102.70	Professional	26	$50.42	$62.11	$102.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $290.67 / $355.63 / $554.77	Professional	TC	$290.67	$355.63	$554.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.02 / $74.02 / $74.02	Professional	26	$74.02	$74.02	$74.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.00 / $407.15 / $725.52	Professional		$347.00	$407.15	$725.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.87 / $215.00 / $285.77	Professional	26	$52.87	$215.00	$285.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.00 / $234.79 / $531.40	Professional	TC	$132.00	$234.79	$531.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.82 / $560.50 / $849.69	Professional		$408.82	$560.50	$849.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.57 / $92.96 / $130.69	Professional	26	$62.57	$92.96	$130.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.19 / $495.94 / $729.20	Professional	TC	$363.19	$495.94	$729.20
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $76.84 / $113.00 / $139.91	Facility	26	$76.84	$113.00	$139.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $411.85 / $647.34	Professional		$45.41	$411.85	$647.34
United Facility/Professional Professional Modifier Low / Median / High Price $362.17 / $435.29 / $793.68	Professional		$362.17	$435.29	$793.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.57 / $70.20 / $126.96	Professional	26	$54.57	$70.20	$126.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.82 / $377.43 / $591.20	Professional	TC	$296.82	$377.43	$591.20