Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $131.83 / $162.18	Facility	26	$125.89	$131.83	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $2,187.76	Professional		$426.58	$562.34	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $151.36 / $338.84	Professional	26	$100.00	$151.36	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $416.87 / $933.25	Professional	TC	$302.00	$416.87	$933.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $186.21	Professional	26	$81.28	$81.28	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,047.13	Professional		$446.68	$645.65	$1,047.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $144.54 / $281.84	Professional	26	$102.33	$144.54	$281.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $436.52 / $933.25	Professional	TC	$338.84	$436.52	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,659.59	Professional		$549.54	$891.25	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $134.90 / $223.87	Professional	26	$104.71	$134.90	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $707.95 / $1,288.25	Professional	TC	$426.58	$707.95	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	26	$208.93	$208.93	$208.93
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 $512.86 / $812.83 / $1,513.56	Professional		$512.86	$812.83	$1,513.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $223.87	Professional	26	$102.33	$128.82	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $691.83 / $1,318.26	Professional	TC	$407.38	$691.83	$1,318.26