Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $676.08 / $1,445.44	Facility		$97.72	$676.08	$1,445.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $41.69 / $58.88	Facility	26	$32.36	$41.69	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $512.86	Professional		$97.72	$151.36	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $57.54 / $181.97	Professional	26	$33.11	$57.54	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $87.10 / $181.97	Professional	TC	$64.57	$87.10	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $186.21	Professional		$70.79	$91.20	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $35.48 / $60.26	Professional	26	$28.84	$35.48	$60.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $58.88 / $97.72	Professional	TC	$46.77	$58.88	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $323.59 / $602.56	Facility		$158.49	$323.59	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $239.88	Professional		$112.20	$141.25	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $70.79 / $95.50	Professional	26	$38.02	$70.79	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $79.43 / $125.89	Professional	TC	$70.79	$79.43	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $363.08 / $537.03	Facility		$75.86	$363.08	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $251.19	Professional		$107.15	$154.88	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $52.48 / $79.43	Professional	26	$37.15	$52.48	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $102.33 / $169.82	Professional	TC	$70.79	$102.33	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $158.49 / $275.42	Facility		$102.33	$158.49	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $436.52 / $660.69	Facility		$109.65	$436.52	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $223.87	Professional		$107.15	$131.83	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $41.69 / $74.13	Professional	26	$33.11	$41.69	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $87.10 / $151.36	Professional	TC	$70.79	$87.10	$151.36