Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $83.18 / $107.15	Facility	26	$79.43	$83.18	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $724.44	Professional		$218.78	$288.40	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $190.55	Professional	26	$54.95	$89.13	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $446.68	Professional	TC	$158.49	$218.78	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $426.58	Professional		$173.78	$199.53	$426.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $58.88 / $102.33	Professional	26	$44.67	$58.88	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $630.96	Professional		$223.87	$346.74	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $102.33 / $158.49	Professional	26	$58.88	$102.33	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $245.47 / $501.19	Professional	TC	$165.96	$245.47	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $602.56	Professional		$234.42	$338.84	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $141.25	Professional	26	$58.88	$81.28	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $257.04 / $446.68	Professional	TC	$169.82	$257.04	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
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 $229.09 / $323.59 / $575.44	Professional		$229.09	$323.59	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $128.82	Professional	26	$57.54	$74.13	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $251.19 / $436.52	Professional	TC	$169.82	$251.19	$436.52