Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $4,265.80 / $9,772.37	Facility		$446.68	$4,265.80	$9,772.37
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $112.20	Facility	26	$47.86	$47.86	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $616.60	Professional		$144.54	$229.09	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $181.97	Professional	26	$38.02	$47.86	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $158.49 / $275.42	Professional	TC	$87.10	$158.49	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $186.21	Professional		$120.23	$154.88	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $45.71	Professional	26	$31.62	$41.69	$45.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $125.89 / $134.90	Professional	TC	$109.65	$125.89	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $831.76	Facility		$186.21	$436.52	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $263.03	Professional		$134.90	$154.88	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $52.48 / $134.90	Professional	26	$38.02	$52.48	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $112.20 / $165.96	Professional	TC	$22.91	$112.20	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $380.19	Professional		$151.36	$229.09	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $104.71	Professional	26	$45.71	$60.26	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $158.49 / $302.00	Professional	TC	$104.71	$158.49	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $251.19 / $407.38	Facility		$134.90	$251.19	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $426.58	Professional		$123.03	$194.98	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $51.29 / $120.23	Professional	26	$38.02	$51.29	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $147.91 / $295.12	Professional	TC	$87.10	$147.91	$295.12