Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.77 / $132.77 / $164.63	Facility	26	$132.77	$132.77	$164.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.66 / $475.00 / $978.11	Professional		$349.66	$475.00	$978.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.91 / $140.00 / $270.17	Professional	26	$98.91	$140.00	$270.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.95 / $335.00 / $600.87	Professional	TC	$218.95	$335.00	$600.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $314.98 / $512.75	Professional		$293.00	$314.98	$512.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.98 / $109.67 / $182.62	Professional	26	$80.98	$109.67	$182.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $267.37 / $267.37 / $343.76	Professional	TC	$267.37	$267.37	$343.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.47 / $660.00 / $1,249.50	Professional		$294.47	$660.00	$1,249.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.02 / $265.00 / $362.40	Professional	26	$102.02	$265.00	$362.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.98 / $395.00 / $825.88	Professional	TC	$190.98	$395.00	$825.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.23 / $731.91 / $1,373.76	Professional		$374.23	$731.91	$1,373.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.20 / $154.75 / $278.00	Professional	26	$108.20	$154.75	$278.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.57 / $545.90 / $1,167.27	Professional	TC	$255.57	$545.90	$1,167.27
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $181.00 / $250.02 / $402.00	Facility	26	$181.00	$250.02	$402.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.42 / $300.42 / $1,205.75	Professional		$300.42	$300.42	$1,205.75
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $400.02 / $400.02 / $400.02	Professional	26	$400.02	$400.02	$400.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $210.04 / $363.04	Professional		$96.53	$210.04	$363.04
United Facility/Professional Professional Modifier Low / Median / High Price $344.49 / $556.72 / $1,307.72	Professional		$344.49	$556.72	$1,307.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.56 / $140.75 / $234.31	Professional	26	$105.56	$140.75	$234.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.03 / $374.18 / $1,072.40	Professional	TC	$238.03	$374.18	$1,072.40