Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.29 / $69.29 / $69.29	Facility	26	$69.29	$69.29	$69.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.31 / $415.62 / $494.18	Professional		$231.31	$415.62	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $85.00 / $145.65	Professional	26	$57.00	$85.00	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.31 / $299.00 / $348.53	Professional	TC	$174.31	$299.00	$348.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $171.15	Professional		$171.15	$171.15	$171.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.79 / $325.00 / $578.08	Professional		$207.79	$325.00	$578.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.84 / $79.00 / $105.66	Professional	26	$52.84	$79.00	$105.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.94 / $246.00 / $437.57	Professional	TC	$154.94	$246.00	$437.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.27 / $514.02 / $848.86	Professional		$271.27	$514.02	$848.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.20 / $79.00 / $147.01	Professional	26	$55.20	$79.00	$147.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.21 / $431.93 / $730.53	Professional	TC	$209.21	$431.93	$730.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $79.00 / $100.00 / $177.30	Facility	26	$79.00	$100.00	$177.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.19 / $295.19 / $851.22	Professional		$295.19	$295.19	$851.22
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $209.76 / $209.76 / $209.76	Professional	26	$209.76	$209.76	$209.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $199.33 / $304.88	Professional		$44.14	$199.33	$304.88
United Facility/Professional Professional Modifier Low / Median / High Price $239.22 / $428.86 / $825.67	Professional		$239.22	$428.86	$825.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.22 / $73.62 / $122.52	Professional	26	$54.22	$73.62	$122.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $187.44 / $319.37 / $716.19	Professional	TC	$187.44	$319.37	$716.19