Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.59 / $124.59 / $153.19	Facility	26	$124.59	$124.59	$153.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $477.57 / $1,307.79	Professional		$279.00	$477.57	$1,307.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $140.00 / $324.42	Professional	26	$85.00	$140.00	$324.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $299.00 / $361.15 / $823.80	Professional	TC	$299.00	$361.15	$823.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $372.64 / $400.59 / $400.59	Professional		$372.64	$400.59	$400.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $101.54 / $171.39	Professional	26	$77.61	$101.54	$171.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $387.65 / $387.65 / $387.65	Professional	TC	$387.65	$387.65	$387.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.64 / $495.88 / $823.52	Professional		$372.64	$495.88	$823.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.75 / $167.00 / $241.75	Professional	26	$95.75	$167.00	$241.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $276.89 / $323.70 / $612.62	Professional	TC	$276.89	$323.70	$612.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.55 / $813.00 / $1,410.21	Professional		$482.55	$813.00	$1,410.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.57 / $139.10 / $262.25	Professional	26	$98.57	$139.10	$262.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $375.77 / $647.50 / $1,199.00	Professional	TC	$375.77	$647.50	$1,199.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $153.65 / $180.00 / $315.36	Facility	26	$153.65	$180.00	$315.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.42 / $300.42 / $1,561.24	Professional		$300.42	$300.42	$1,561.24
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $376.43 / $376.43 / $376.43	Professional	26	$376.43	$376.43	$376.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $304.99 / $495.30	Professional		$96.53	$304.99	$495.30
United Facility/Professional Professional Modifier Low / Median / High Price $456.94 / $732.97 / $1,303.13	Professional		$456.94	$732.97	$1,303.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.74 / $132.26 / $209.94	Professional	26	$98.74	$132.26	$209.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $348.24 / $536.87 / $1,110.16	Professional	TC	$348.24	$536.87	$1,110.16