Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $83.00 / $92.08	Facility	26	$83.00	$83.00	$92.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.07 / $275.00 / $531.45	Professional		$183.07	$275.00	$531.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.37 / $80.36 / $120.54	Professional	26	$53.37	$80.36	$120.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $129.71 / $220.00 / $448.11	Professional	TC	$129.71	$220.00	$448.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.93 / $49.98 / $74.98	Professional	26	$39.93	$49.98	$74.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.10 / $345.00 / $556.16	Professional		$165.10	$345.00	$556.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $125.00 / $177.58	Professional	26	$49.98	$125.00	$177.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $115.11 / $220.00 / $381.17	Professional	TC	$115.11	$220.00	$381.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $327.82 / $588.40	Professional		$240.00	$327.82	$588.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.37 / $81.65 / $139.08	Professional	26	$63.37	$81.65	$139.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.00 / $255.72 / $466.04	Professional	TC	$168.00	$255.72	$466.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $97.56 / $115.00 / $192.13	Facility	26	$97.56	$115.00	$192.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $673.70	Professional		$145.72	$145.72	$673.70
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $196.40 / $196.40 / $196.40	Professional	26	$196.40	$196.40	$196.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $150.47 / $226.10	Professional		$44.14	$150.47	$226.10
United Facility/Professional Professional Modifier Low / Median / High Price $213.44 / $315.97 / $542.73	Professional		$213.44	$315.97	$542.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.66 / $75.06 / $126.78	Professional	26	$55.66	$75.06	$126.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.58 / $232.84 / $439.44	Professional	TC	$158.58	$232.84	$439.44