Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.10 / $104.10 / $104.10	Facility	26	$104.10	$104.10	$104.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.51 / $425.00 / $606.86	Professional		$342.51	$425.00	$606.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $126.00 / $170.63	Professional	26	$85.00	$126.00	$170.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.08 / $335.00 / $432.63	Professional	TC	$257.08	$335.00	$432.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.22 / $85.22 / $85.22	Professional	26	$85.22	$85.22	$85.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.88 / $460.00 / $701.38	Professional		$303.88	$460.00	$701.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.27 / $145.97 / $207.76	Professional	26	$79.27	$145.97	$207.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.62 / $308.72 / $540.54	Professional	TC	$224.62	$308.72	$540.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.91 / $556.25 / $925.00	Professional		$392.91	$556.25	$925.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.40 / $119.00 / $219.12	Professional	26	$83.40	$119.00	$219.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $300.02 / $452.10 / $730.53	Professional	TC	$300.02	$452.10	$730.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $130.07 / $152.00 / $270.39	Facility	26	$130.07	$152.00	$270.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,260.44 / $1,260.44 / $1,260.44	Professional		$1,260.44	$1,260.44	$1,260.44
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $314.35 / $314.35 / $314.35	Professional	26	$314.35	$314.35	$314.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $259.82 / $425.26	Professional		$96.53	$259.82	$425.26
United Facility/Professional Professional Modifier Low / Median / High Price $366.85 / $507.17 / $867.67	Professional		$366.85	$507.17	$867.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.05 / $110.01 / $183.18	Professional	26	$81.05	$110.01	$183.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.79 / $395.92 / $743.17	Professional	TC	$278.79	$395.92	$743.17