Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $154.88	Facility	26	$123.03	$123.03	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $2,041.74	Professional		$346.74	$501.19	$2,041.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $165.96 / $467.74	Professional	26	$95.50	$165.96	$467.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $851.14	Professional	TC	$245.47	$338.84	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $575.44	Professional		$263.03	$309.03	$575.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $100.00 / $169.82	Professional	26	$75.86	$100.00	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,023.29	Professional		$331.13	$588.84	$1,023.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $109.65 / $154.88	Professional	26	$95.50	$109.65	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $501.19 / $933.25	Professional	TC	$229.09	$501.19	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $1,513.56	Professional		$389.05	$776.25	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $213.80	Professional	26	$97.72	$128.82	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $562.34 / $1,230.27	Professional	TC	$281.84	$562.34	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	26	$199.53	$199.53	$199.53
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 $371.54 / $645.65 / $1,412.54	Professional		$371.54	$645.65	$1,412.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $120.23 / $208.93	Professional	26	$97.72	$120.23	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $489.78 / $1,174.90	Professional	TC	$263.03	$489.78	$1,174.90