Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $83.18 / $93.33	Facility	26	$69.18	$83.18	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $457.09	Professional		$181.97	$275.42	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $186.21	Professional	26	$52.48	$83.18	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $190.55 / $338.84	Professional	TC	$125.89	$190.55	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $89.13	Professional	26	$40.74	$56.23	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $512.86	Professional		$173.78	$323.59	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $112.20 / $173.78	Professional	26	$52.48	$112.20	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $199.53 / $338.84	Professional	TC	$123.03	$199.53	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $645.65	Professional		$218.78	$316.23	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $81.28 / $138.04	Professional	26	$54.95	$81.28	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $234.42 / $478.63	Professional	TC	$158.49	$234.42	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	26	$128.82	$128.82	$128.82
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 $208.93 / $316.23 / $562.34	Professional		$208.93	$316.23	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $128.82	Professional	26	$56.23	$74.13	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $239.88 / $446.68	Professional	TC	$154.88	$239.88	$446.68