Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.48 / $44.48 / $44.48	Facility	26	$44.48	$44.48	$44.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $186.34 / $264.24	Professional		$168.01	$186.34	$264.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.93 / $46.99 / $79.41	Professional	26	$41.93	$46.99	$79.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.24 / $142.01 / $208.75	Professional	TC	$126.24	$142.01	$208.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.37 / $52.37 / $52.37	Professional	26	$52.37	$52.37	$52.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $193.23 / $311.22	Professional		$177.00	$193.23	$311.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.00 / $50.67 / $77.37	Professional	26	$44.00	$50.67	$77.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.00 / $141.65 / $209.47	Professional	TC	$133.00	$141.65	$209.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.99 / $287.93 / $524.54	Professional		$230.99	$287.93	$524.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.52 / $70.18 / $123.52	Professional	26	$56.52	$70.18	$123.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.76 / $210.67 / $365.07	Professional	TC	$173.76	$210.67	$365.07
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $61.11 / $95.08 / $151.91	Facility	26	$61.11	$95.08	$151.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $761.94	Professional		$187.72	$187.72	$761.94
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $192.57 / $192.57 / $192.57	Professional	26	$192.57	$192.57	$192.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $183.60 / $274.57	Professional		$44.14	$183.60	$274.57
United Facility/Professional Professional Modifier Low / Median / High Price $211.38 / $283.24 / $450.47	Professional		$211.38	$283.24	$450.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.69 / $68.43 / $113.10	Professional	26	$51.69	$68.43	$113.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.19 / $214.81 / $336.58	Professional	TC	$159.19	$214.81	$336.58