Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $83.18 / $107.15	Facility	26	$75.86	$83.18	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $436.52	Professional		$169.82	$269.15	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $169.82	Professional	26	$53.70	$75.86	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $177.83 / $288.40	Professional	TC	$112.20	$177.83	$288.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $60.26 / $95.50	Professional	26	$43.65	$60.26	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $588.84	Professional		$165.96	$354.81	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $123.03 / $186.21	Professional	26	$57.54	$123.03	$186.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $199.53 / $407.38	Professional	TC	$107.15	$199.53	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $575.44	Professional		$199.53	$309.03	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $134.90	Professional	26	$54.95	$77.62	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $239.88 / $436.52	Professional	TC	$131.83	$239.88	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	26	$114.82	$114.82	$114.82
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 $181.97 / $295.12 / $537.03	Professional		$181.97	$295.12	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $69.18 / $123.03	Professional	26	$54.95	$69.18	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $223.87 / $426.58	Professional	TC	$125.89	$223.87	$426.58