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 / $83.00	Facility	26	$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $275.00 / $559.05	Professional		$183.84	$275.00	$559.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $71.18 / $124.11	Professional	26	$55.00	$71.18	$124.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.78 / $220.00 / $473.68	Professional	TC	$127.78	$220.00	$473.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.76 / $60.16 / $100.17	Professional	26	$44.76	$60.16	$100.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $391.47 / $590.57	Professional		$168.71	$391.47	$590.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.96 / $162.00 / $216.68	Professional	26	$55.96	$162.00	$216.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.75 / $245.19 / $359.00	Professional	TC	$112.75	$245.19	$359.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.58 / $361.57 / $636.87	Professional		$204.58	$361.57	$636.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.00 / $88.18 / $155.19	Professional	26	$65.00	$88.18	$155.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.83 / $282.50 / $461.11	Professional	TC	$139.83	$282.50	$461.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $101.40 / $119.00 / $209.79	Facility	26	$101.40	$119.00	$209.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $692.43	Professional		$145.72	$145.72	$692.43
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $222.24 / $222.24 / $222.24	Professional	26	$222.24	$222.24	$222.24
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 $191.65 / $309.39 / $556.85	Professional		$191.65	$309.39	$556.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.83 / $82.01 / $129.80	Professional	26	$58.83	$82.01	$129.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.04 / $219.80 / $423.94	Professional	TC	$129.04	$219.80	$423.94