Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.06 / $56.06 / $99.93	Facility	26	$56.06	$56.06	$99.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $155.50 / $306.79	Professional		$104.20	$155.50	$306.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $56.30 / $120.49	Professional	26	$49.65	$56.30	$120.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.14 / $74.84 / $237.43	Professional	TC	$48.14	$74.84	$237.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.14 / $67.14 / $111.80	Professional	26	$67.14	$67.14	$111.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $411.25 / $770.43	Professional		$114.41	$411.25	$770.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.46 / $83.00 / $147.63	Professional	26	$62.46	$83.00	$147.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.95 / $210.40 / $662.97	Professional	TC	$51.95	$210.40	$662.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $229.77 / $652.00	Professional		$130.47	$229.77	$652.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.42 / $77.03 / $131.18	Professional	26	$56.42	$77.03	$131.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.16 / $140.99 / $576.00	Professional	TC	$68.16	$140.99	$576.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.75 / $111.00 / $347.00	Facility	26	$83.75	$111.00	$347.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $461.73	Professional		$461.73	$461.73	$461.73
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $246.78 / $246.78 / $246.78	Professional	26	$246.78	$246.78	$246.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $130.74	Professional		$44.14	$80.55	$130.74
United Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $183.22 / $541.84	Professional		$130.15	$183.22	$541.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.89 / $83.17 / $133.16	Professional	26	$53.89	$83.17	$133.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.17 / $105.43 / $440.74	Professional	TC	$66.17	$105.43	$440.74