Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $107.15 / $245.47	Facility	26	$83.18	$107.15	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $562.34	Professional		$199.53	$309.03	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $107.15 / $323.59	Professional	26	$77.62	$107.15	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $407.38	Professional	TC	$169.82	$218.78	$407.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $89.13 / $154.88	Professional	26	$69.18	$89.13	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $501.19	Professional		$257.04	$338.84	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $117.49 / $190.55	Professional	26	$85.11	$117.49	$190.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $194.98 / $346.74	Professional	TC	$173.78	$194.98	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $870.96	Professional		$338.84	$501.19	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $112.20 / $194.98	Professional	26	$79.43	$112.20	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $380.19 / $630.96	Professional	TC	$245.47	$380.19	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	26	$177.83	$177.83	$177.83
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 $331.13 / $457.09 / $831.76	Professional		$331.13	$457.09	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $109.65 / $190.55	Professional	26	$85.11	$109.65	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $363.08 / $660.69	Professional	TC	$239.88	$363.08	$660.69