Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.31 / $699.60 / $9,727.00	Facility		$230.31	$699.60	$9,727.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.75 / $48.75 / $111.19	Facility	26	$48.75	$48.75	$111.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $230.31 / $586.50	Professional		$152.68	$230.31	$586.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.94 / $48.75 / $198.69	Professional	26	$38.94	$48.75	$198.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $181.57 / $255.20	Professional	TC	$98.17	$181.57	$255.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $215.46 / $215.46	Professional		$215.46	$215.46	$215.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.65 / $490.21 / $821.77	Facility		$210.65	$490.21	$821.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $156.57 / $282.26	Professional		$135.00	$156.57	$282.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.59 / $112.00 / $183.30	Professional	26	$36.59	$112.00	$183.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.00 / $112.52 / $164.24	Professional	TC	$23.00	$112.52	$164.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $242.89 / $471.87	Professional		$151.18	$242.89	$471.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.52 / $60.88 / $103.45	Professional	26	$46.52	$60.88	$103.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.48 / $159.35 / $349.70	Professional	TC	$95.48	$159.35	$349.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.79 / $258.94 / $389.82	Facility		$175.79	$258.94	$389.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $56.55 / $97.83 / $114.28	Facility	26	$56.55	$97.83	$114.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $81.31 / $81.31	Professional		$81.31	$81.31	$81.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $157.04 / $252.41	Professional		$46.90	$157.04	$252.41
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $234.79 / $441.58	Professional		$131.46	$234.79	$441.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $55.95 / $133.44	Professional	26	$39.65	$55.95	$133.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.87 / $168.09 / $302.85	Professional	TC	$95.87	$168.09	$302.85