Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.25 / $85.25 / $98.22	Facility	26	$85.25	$85.25	$98.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.70 / $425.00 / $494.18	Professional		$273.70	$425.00	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.18 / $85.25 / $145.65	Professional	26	$70.18	$85.25	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $203.53 / $299.00 / $368.50	Professional	TC	$203.53	$299.00	$368.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.95 / $69.95 / $69.95	Professional	26	$69.95	$69.95	$69.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.23 / $460.00 / $964.00	Professional		$239.23	$460.00	$964.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.08 / $140.00 / $198.89	Professional	26	$65.08	$140.00	$198.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.15 / $320.00 / $811.00	Professional	TC	$174.15	$320.00	$811.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $468.82 / $800.30	Professional		$315.64	$468.82	$800.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $97.01 / $179.44	Professional	26	$67.73	$97.01	$179.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $237.57 / $389.97 / $639.71	Professional	TC	$237.57	$389.97	$639.71
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $105.78 / $124.00 / $217.47	Facility	26	$105.78	$124.00	$217.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $1,007.25	Professional		$187.72	$187.72	$1,007.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $258.26 / $258.26 / $258.26	Professional	26	$258.26	$258.26	$258.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $191.96 / $305.84	Professional		$63.30	$191.96	$305.84
United Facility/Professional Professional Modifier Low / Median / High Price $293.83 / $431.82 / $737.96	Professional		$293.83	$431.82	$737.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.52 / $88.99 / $135.18	Professional	26	$67.52	$88.99	$135.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.26 / $315.55 / $621.00	Professional	TC	$222.26	$315.55	$621.00