Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.71 / $100.71 / $100.71	Facility	26	$100.71	$100.71	$100.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.87 / $425.00 / $494.18	Professional		$276.87	$425.00	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.33 / $100.71 / $150.66	Professional	26	$82.33	$100.71	$150.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.54 / $299.00 / $360.54	Professional	TC	$194.54	$299.00	$360.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.00 / $61.86 / $61.86	Professional	26	$61.00	$61.86	$61.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.81 / $460.00 / $818.21	Professional		$245.81	$460.00	$818.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.38 / $209.00 / $277.80	Professional	26	$76.38	$209.00	$277.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.42 / $251.00 / $524.79	Professional	TC	$169.42	$251.00	$524.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.16 / $573.49 / $1,005.71	Professional		$317.16	$573.49	$1,005.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.36 / $111.86 / $211.98	Professional	26	$79.36	$111.86	$211.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.07 / $464.21 / $839.51	Professional	TC	$227.07	$464.21	$839.51
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $123.63 / $144.00 / $254.79	Facility	26	$123.63	$144.00	$254.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.42 / $300.42 / $1,018.88	Professional		$300.42	$300.42	$1,018.88
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $302.97 / $302.97 / $302.97	Professional	26	$302.97	$302.97	$302.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $204.24 / $329.95	Professional		$96.53	$204.24	$329.95
United Facility/Professional Professional Modifier Low / Median / High Price $296.45 / $496.12 / $877.39	Professional		$296.45	$496.12	$877.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.77 / $106.76 / $168.68	Professional	26	$78.77	$106.76	$168.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.66 / $351.11 / $751.10	Professional	TC	$213.66	$351.11	$751.10