Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $446.68	Professional		$204.17	$263.03	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $114.82 / $229.09	Professional	26	$83.18	$114.82	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $131.83 / $229.09	Professional	TC	$100.00	$131.83	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $199.53	Professional	26	$87.10	$87.10	$199.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	TC	$223.87	$223.87	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $524.81	Professional		$213.80	$316.23	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $134.90 / $199.53	Professional	26	$112.20	$134.90	$199.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $181.97 / $316.23	Professional	TC	$102.33	$181.97	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,000.00	Professional		$363.08	$524.81	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $141.25 / $234.42	Professional	26	$97.72	$141.25	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $389.05 / $741.31	Professional	TC	$269.15	$389.05	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	26	$223.87	$223.87	$223.87
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 $371.54 / $524.81 / $912.01	Professional		$371.54	$524.81	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $134.90 / $245.47	Professional	26	$102.33	$134.90	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $380.19 / $676.08	Professional	TC	$257.04	$380.19	$676.08