Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.50 / $69.50 / $123.90	Facility	26	$69.50	$69.50	$123.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.29 / $481.64 / $806.58	Professional		$366.29	$481.64	$806.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $77.84 / $149.38	Professional	26	$67.73	$77.84	$149.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $296.77 / $385.81 / $660.71	Professional	TC	$296.77	$385.81	$660.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $453.71 / $453.71 / $453.71	Professional		$453.71	$453.71	$453.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.85 / $118.48 / $151.01	Professional	26	$62.85	$118.48	$151.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $410.31 / $614.52	Professional		$322.00	$410.31	$614.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.44 / $135.00 / $218.54	Professional	26	$77.44	$135.00	$218.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $187.00 / $317.08 / $433.61	Professional	TC	$187.00	$317.08	$433.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.00 / $566.38 / $941.37	Professional		$401.00	$566.38	$941.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.65 / $108.13 / $157.13	Professional	26	$77.65	$108.13	$157.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $298.00 / $455.35 / $782.90	Professional	TC	$298.00	$455.35	$782.90
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $112.67 / $139.81 / $244.20	Facility	26	$112.67	$139.81	$244.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.29 / $276.29 / $276.29	Professional		$276.29	$276.29	$276.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $357.25 / $615.97	Professional		$95.64	$357.25	$615.97
United Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $562.83 / $965.25	Professional		$449.10	$562.83	$965.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.88 / $102.34 / $169.84	Professional	26	$71.88	$102.34	$169.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $353.91 / $471.87 / $795.41	Professional	TC	$353.91	$471.87	$795.41