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 / $83.18	Facility	26	$75.86	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $512.86	Professional		$213.80	$275.42	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $141.25	Professional	26	$52.48	$69.18	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $218.78 / $380.19	Professional	TC	$162.18	$218.78	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $213.80	Professional		$208.93	$208.93	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $44.67 / $60.26	Professional	26	$43.65	$44.67	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $676.08	Professional		$229.09	$407.38	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $112.20 / $186.21	Professional	26	$57.54	$112.20	$186.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $263.03 / $478.63	Professional	TC	$173.78	$263.03	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $691.83	Professional		$263.03	$389.05	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $128.82	Professional	26	$54.95	$79.43	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $309.03 / $524.81	Professional	TC	$199.53	$309.03	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
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 $251.19 / $371.54 / $645.65	Professional		$251.19	$371.54	$645.65
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 $194.98 / $302.00 / $512.86	Professional	TC	$194.98	$302.00	$512.86