Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.59 / $83.00 / $83.00	Facility	26	$80.59	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.18 / $275.00 / $423.46	Professional		$227.18	$275.00	$423.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $60.11 / $105.50	Professional	26	$52.46	$60.11	$105.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.17 / $220.00 / $357.10	Professional	TC	$169.17	$220.00	$357.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.54 / $43.54 / $96.27	Professional	26	$43.54	$43.54	$96.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $457.00 / $761.26	Professional		$216.14	$457.00	$761.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.78 / $150.00 / $200.63	Professional	26	$53.78	$150.00	$200.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.37 / $307.00 / $546.07	Professional	TC	$162.37	$307.00	$546.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $400.04 / $667.76	Professional		$266.47	$400.04	$667.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.59 / $81.00 / $148.44	Professional	26	$55.59	$81.00	$148.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.57 / $318.42 / $550.91	Professional	TC	$204.57	$318.42	$550.91
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $87.93 / $118.00 / $180.48	Facility	26	$87.93	$118.00	$180.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $836.02	Professional		$145.72	$145.72	$836.02
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $622.54 / $622.54 / $622.54	Professional	TC	$622.54	$622.54	$622.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $199.33 / $304.88	Professional		$44.14	$199.33	$304.88
United Facility/Professional Professional Modifier Low / Median / High Price $254.01 / $371.09 / $608.19	Professional		$254.01	$371.09	$608.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.13 / $75.14 / $124.70	Professional	26	$57.13	$75.14	$124.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $193.90 / $286.45 / $498.33	Professional	TC	$193.90	$286.45	$498.33