Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $776.25	Professional		$251.19	$407.38	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $117.49 / $181.97	Professional	26	$70.79	$117.49	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $281.84 / $512.86	Professional	TC	$177.83	$281.84	$512.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $123.03	Professional	26	$66.07	$66.07	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $575.44	Professional		$239.88	$323.59	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $109.65	Professional	26	$67.61	$79.43	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $245.47 / $436.52	Professional	TC	$169.82	$245.47	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $1,000.00	Professional		$288.40	$512.86	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $83.18 / $165.96	Professional	26	$60.26	$83.18	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $416.87 / $831.76	Professional	TC	$208.93	$416.87	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
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 $263.03 / $467.74 / $870.96	Professional		$263.03	$467.74	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.28 / $141.25	Professional	26	$56.23	$81.28	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $371.54 / $794.33	Professional	TC	$190.55	$371.54	$794.33