Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.68 / $103.68 / $103.68	Facility	26	$103.68	$103.68	$103.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.09 / $425.00 / $616.88	Professional		$344.09	$425.00	$616.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.75 / $118.59 / $199.08	Professional	26	$84.75	$118.59	$199.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.33 / $335.00 / $462.42	Professional	TC	$259.33	$335.00	$462.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.40 / $142.25 / $142.25	Professional	26	$64.40	$142.25	$142.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.81 / $460.00 / $781.51	Professional		$308.81	$460.00	$781.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.47 / $209.00 / $281.92	Professional	26	$79.47	$209.00	$281.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.34 / $276.10 / $511.50	Professional	TC	$229.34	$276.10	$511.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.28 / $556.54 / $913.79	Professional		$387.28	$556.54	$913.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $116.19 / $197.12	Professional	26	$82.72	$116.19	$197.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.14 / $447.62 / $730.53	Professional	TC	$295.14	$447.62	$730.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $122.00 / $156.00 / $261.25	Facility	26	$122.00	$156.00	$261.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,266.25 / $1,266.25 / $1,266.25	Professional		$1,266.25	$1,266.25	$1,266.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $311.88 / $311.88 / $311.88	Professional	26	$311.88	$311.88	$311.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $258.88 / $425.12	Professional		$96.53	$258.88	$425.12
United Facility/Professional Professional Modifier Low / Median / High Price $368.66 / $509.51 / $862.25	Professional		$368.66	$509.51	$862.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.70 / $106.27 / $181.27	Professional	26	$80.70	$106.27	$181.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $276.89 / $399.88 / $685.61	Professional	TC	$276.89	$399.88	$685.61