Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $186.21	Facility	26	$147.91	$147.91	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $2,290.87	Professional		$371.54	$478.63	$2,290.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $194.98 / $588.84	Professional	26	$114.82	$194.98	$588.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $338.84 / $616.60	Professional	TC	$251.19	$338.84	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $707.95	Professional		$354.81	$354.81	$707.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $128.82 / $213.80	Professional	26	$93.33	$128.82	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $912.01	Professional		$354.81	$588.84	$912.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $173.78 / $281.84	Professional	26	$123.03	$173.78	$281.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $354.81 / $676.08	Professional	TC	$234.42	$354.81	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,071.52	Professional		$407.38	$630.96	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $162.18 / $269.15	Professional	26	$123.03	$162.18	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $467.74 / $851.14	Professional	TC	$281.84	$467.74	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	26	$239.88	$239.88	$239.88
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 $398.11 / $602.56 / $1,122.02	Professional		$398.11	$602.56	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $144.54 / $263.03	Professional	26	$114.82	$144.54	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $457.09 / $831.76	Professional	TC	$269.15	$457.09	$831.76