Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $831.76	Professional		$275.42	$426.58	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $269.15	Professional	26	$83.18	$141.25	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $501.19	Professional	TC	$190.55	$281.84	$501.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $141.25 / $147.91	Professional	26	$77.62	$141.25	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $575.44 / $977.24	Professional		$263.03	$575.44	$977.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $138.04 / $275.42	Professional	26	$83.18	$138.04	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $323.59 / $660.69	Professional	TC	$181.97	$323.59	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $1,023.29	Professional		$309.03	$562.34	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $114.82 / $186.21	Professional	26	$81.28	$114.82	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $426.58 / $831.76	Professional	TC	$218.78	$426.58	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
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 $288.40 / $501.19 / $912.01	Professional		$288.40	$501.19	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $102.33 / $173.78	Professional	26	$81.28	$102.33	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $380.19 / $776.25	Professional	TC	$204.17	$380.19	$776.25