Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $83.00 / $83.00	Facility	26	$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $275.00 / $380.51	Professional		$205.02	$275.00	$380.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $94.06 / $173.54	Professional	26	$55.00	$94.06	$173.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.37 / $192.00 / $220.00	Professional	TC	$103.37	$192.00	$220.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $86.52 / $86.52 / $106.76	Professional	26	$86.52	$86.52	$106.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.89 / $351.00 / $621.83	Professional		$203.89	$351.00	$621.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.76 / $135.46 / $228.58	Professional	26	$106.76	$135.46	$228.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.13 / $221.00 / $338.64	Professional	TC	$97.13	$221.00	$338.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.45 / $546.45 / $1,073.98	Professional		$376.45	$546.45	$1,073.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.71 / $142.53 / $270.32	Professional	26	$111.71	$142.53	$270.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.25 / $403.92 / $787.72	Professional	TC	$281.25	$403.92	$787.72
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $156.57 / $157.94 / $352.50	Facility	26	$156.57	$157.94	$352.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $799.15	Professional		$88.83	$88.83	$799.15
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $380.40 / $380.40 / $380.40	Professional	TC	$380.40	$380.40	$380.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $124.33 / $239.12	Professional		$85.68	$124.33	$239.12
United Facility/Professional Professional Modifier Low / Median / High Price $397.14 / $558.33 / $899.18	Professional		$397.14	$558.33	$899.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.36 / $145.40 / $245.24	Professional	26	$101.36	$145.40	$245.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $284.54 / $410.41 / $681.34	Professional	TC	$284.54	$410.41	$681.34