Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $83.18 / $83.18	Facility	26	$69.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $295.12	Professional		$117.49	$162.18	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $52.48 / $112.20	Professional	26	$41.69	$52.48	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $102.33 / $218.78	Professional	TC	$72.44	$102.33	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $45.71 / $58.88	Professional	26	$42.66	$45.71	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $331.13	Professional		$128.82	$194.98	$331.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $104.71	Professional	26	$45.71	$63.10	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $120.23 / $218.78	Professional	TC	$81.28	$120.23	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $354.81	Professional		$141.25	$204.17	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $61.66 / $95.50	Professional	26	$44.67	$61.66	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $138.04 / $234.42	Professional	TC	$93.33	$138.04	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Professional	26	$91.20	$91.20	$91.20
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 $134.90 / $181.97 / $323.59	Professional		$134.90	$181.97	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $56.23 / $97.72	Professional	26	$43.65	$56.23	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $131.83 / $234.42	Professional	TC	$89.13	$131.83	$234.42