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 $344.73 / $425.00 / $613.72	Professional		$344.73	$425.00	$613.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.75 / $126.00 / $189.00	Professional	26	$84.75	$126.00	$189.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.98 / $335.00 / $441.00	Professional	TC	$259.98	$335.00	$441.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $64.16 / $85.12	Professional	26	$64.16	$64.16	$85.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.33 / $460.00 / $964.00	Professional		$307.33	$460.00	$964.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.18 / $168.00 / $295.39	Professional	26	$79.18	$168.00	$295.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $228.16 / $306.60 / $689.00	Professional	TC	$228.16	$306.60	$689.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.49 / $560.99 / $925.00	Professional		$396.49	$560.99	$925.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $118.63 / $218.22	Professional	26	$82.72	$118.63	$218.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $303.39 / $448.67 / $730.53	Professional	TC	$303.39	$448.67	$730.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $129.99 / $151.00 / $268.00	Facility	26	$129.99	$151.00	$268.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,268.60 / $1,268.60 / $1,268.60	Professional		$1,268.60	$1,268.60	$1,268.60
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 $108.45 / $300.43 / $463.28	Professional		$108.45	$300.43	$463.28
United Facility/Professional Professional Modifier Low / Median / High Price $369.97 / $494.27 / $818.54	Professional		$369.97	$494.27	$818.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.75 / $109.93 / $173.49	Professional	26	$81.75	$109.93	$173.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.48 / $393.16 / $684.11	Professional	TC	$279.48	$393.16	$684.11