Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $131.83 / $234.42	Facility	26	$102.33	$131.83	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $851.14	Professional		$281.84	$426.58	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $302.00	Professional	26	$85.11	$141.25	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $295.12 / $501.19	Professional	TC	$194.98	$295.12	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $141.25	Professional	26	$77.62	$77.62	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $588.84 / $977.24	Professional		$269.15	$588.84	$977.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $147.91 / $269.15	Professional	26	$83.18	$147.91	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $338.84 / $676.08	Professional	TC	$181.97	$338.84	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $1,047.13	Professional		$316.23	$575.44	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $199.53	Professional	26	$87.10	$117.49	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $436.52 / $831.76	Professional	TC	$223.87	$436.52	$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 $181.97 / $181.97 / $181.97	Professional	26	$181.97	$181.97	$181.97
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 $295.12 / $512.86 / $933.25	Professional		$295.12	$512.86	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $177.83	Professional	26	$83.18	$104.71	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $380.19 / $776.25	Professional	TC	$208.93	$380.19	$776.25