Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $91.20	Facility	26	$85.11	$85.11	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $851.14	Professional		$275.42	$426.58	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $120.23 / $199.53	Professional	26	$70.79	$120.23	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $302.00 / $501.19	Professional	TC	$199.53	$302.00	$501.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $891.25	Professional		$251.19	$416.87	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $104.71 / $194.98	Professional	26	$67.61	$104.71	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $288.40 / $724.44	Professional	TC	$186.21	$288.40	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $851.14	Professional		$309.03	$467.74	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $147.91	Professional	26	$67.61	$95.50	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $380.19 / $660.69	Professional	TC	$234.42	$380.19	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
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 Professional Modifier Low / Median / High Price $288.40 / $436.52 / $794.33	Professional		$288.40	$436.52	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $144.54	Professional	26	$66.07	$83.18	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $363.08 / $645.65	Professional	TC	$213.80	$363.08	$645.65