Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $83.18 / $107.15	Facility	26	$79.43	$83.18	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $446.68	Professional		$151.36	$234.42	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $83.18 / $154.88	Professional	26	$56.23	$83.18	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $134.90 / $281.84	Professional	TC	$91.20	$134.90	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $102.33	Professional	26	$45.71	$63.10	$102.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $58.88 / $58.88	Professional	TC	$58.88	$58.88	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $446.68	Professional		$147.91	$269.15	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $112.20 / $169.82	Professional	26	$60.26	$112.20	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $131.83 / $263.03	Professional	TC	$87.10	$131.83	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $457.09	Professional		$162.18	$251.19	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $128.82	Professional	26	$58.88	$81.28	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $173.78 / $316.23	Professional	TC	$100.00	$173.78	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
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 $158.49 / $239.88 / $426.58	Professional		$158.49	$239.88	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $128.82	Professional	26	$57.54	$74.13	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $162.18 / $309.03	Professional	TC	$93.33	$162.18	$309.03