Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.90 / $126.90 / $290.19	Facility	26	$126.90	$126.90	$290.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.81 / $437.91 / $1,344.70	Professional		$339.81	$437.91	$1,344.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.53 / $126.90 / $512.25	Professional	26	$101.53	$126.90	$512.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $186.01 / $297.13 / $326.69	Professional	52	$186.01	$297.13	$326.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.43 / $311.01 / $446.69	Professional	TC	$229.43	$311.01	$446.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $441.26 / $441.26 / $441.26	Professional		$441.26	$441.26	$441.26
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $77.87 / $77.87 / $77.87	Professional	52	$77.87	$77.87	$77.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $309.47 / $545.74	Professional		$236.00	$309.47	$545.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.75 / $188.50 / $313.67	Professional	26	$95.75	$188.50	$313.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.50 / $209.62 / $339.62	Professional	TC	$47.50	$209.62	$339.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.90 / $425.02 / $917.90	Professional		$335.90	$425.02	$917.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.94 / $149.79 / $270.04	Professional	26	$118.94	$149.79	$270.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.01 / $278.52 / $651.91	Professional	TC	$215.01	$278.52	$651.91
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $140.27 / $140.27 / $196.92	Facility	26	$140.27	$140.27	$196.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $257.80 / $438.69	Professional		$142.91	$257.80	$438.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $255.36 / $452.20	Professional		$100.11	$255.36	$452.20
United Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $448.65 / $933.52	Professional		$306.77	$448.65	$933.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.05 / $158.18 / $264.58	Professional	26	$102.05	$158.18	$264.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.53 / $256.08 / $565.35	Professional	TC	$201.53	$256.08	$565.35