Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $588.84	Professional		$239.88	$309.03	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $186.21	Professional	26	$70.79	$89.13	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $218.78 / $407.38	Professional	TC	$162.18	$218.78	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $630.96	Professional		$257.04	$371.54	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $112.20 / $194.98	Professional	26	$81.28	$112.20	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $257.04 / $426.58	Professional	TC	$173.78	$257.04	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $891.25	Professional		$309.03	$478.63	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $181.97	Professional	26	$79.43	$107.15	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $363.08 / $645.65	Professional	TC	$218.78	$363.08	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
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 $302.00 / $436.52 / $812.83	Professional		$302.00	$436.52	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $104.71 / $181.97	Professional	26	$81.28	$104.71	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $346.74 / $630.96	Professional	TC	$213.80	$346.74	$630.96