Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	26	$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $602.56	Professional		$229.09	$398.11	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $151.36	Professional	26	$57.54	$85.11	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $281.84 / $501.19	Professional	TC	$173.78	$281.84	$501.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Professional	26	$42.66	$42.66	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $501.19	Professional		$218.78	$323.59	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $109.65	Professional	26	$56.23	$75.86	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $239.88 / $426.58	Professional	TC	$165.96	$239.88	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $954.99	Professional		$269.15	$501.19	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $141.25	Professional	26	$54.95	$75.86	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $407.38 / $776.25	Professional	TC	$204.17	$407.38	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Professional	26	$112.20	$112.20	$112.20
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 $245.47 / $436.52 / $851.14	Professional		$245.47	$436.52	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $67.61 / $117.49	Professional	26	$53.70	$67.61	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $371.54 / $758.58	Professional	TC	$181.97	$371.54	$758.58