Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.89 / $77.89 / $77.89	Facility	26	$77.89	$77.89	$77.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.32 / $409.82 / $494.18	Professional		$232.32	$409.82	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.12 / $95.09 / $145.65	Professional	26	$64.12	$95.09	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.20 / $313.07 / $348.53	Professional	TC	$168.20	$313.07	$348.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.43 / $59.43 / $59.43	Professional	26	$59.43	$59.43	$59.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $460.00 / $818.21	Professional		$206.44	$460.00	$818.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.43 / $160.00 / $235.26	Professional	26	$59.43	$160.00	$235.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.01 / $300.00 / $555.26	Professional	TC	$147.01	$300.00	$555.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.51 / $494.51 / $844.13	Professional		$266.51	$494.51	$844.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.68 / $84.00 / $158.81	Professional	26	$61.68	$84.00	$158.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.75 / $405.17 / $721.80	Professional	TC	$191.75	$405.17	$721.80
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $96.23 / $113.00 / $199.23	Facility	26	$96.23	$113.00	$199.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $854.94	Professional		$187.72	$187.72	$854.94
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $235.96 / $235.96 / $235.96	Professional	26	$235.96	$235.96	$235.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $183.60 / $274.57	Professional		$44.14	$183.60	$274.57
United Facility/Professional Professional Modifier Low / Median / High Price $251.66 / $418.23 / $741.69	Professional		$251.66	$418.23	$741.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.23 / $82.28 / $137.15	Professional	26	$61.23	$82.28	$137.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.62 / $288.05 / $640.99	Professional	TC	$180.62	$288.05	$640.99