Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.59 / $88.59 / $158.44	Facility	26	$88.59	$88.59	$158.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.76 / $393.25 / $677.58	Professional		$335.76	$393.25	$677.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.59 / $99.03 / $213.83	Professional	26	$88.59	$99.03	$213.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.17 / $302.52 / $477.37	Professional	TC	$247.17	$302.52	$477.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.22 / $103.98 / $177.26	Professional	26	$79.22	$103.98	$177.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.93 / $435.72 / $678.63	Professional		$372.93	$435.72	$678.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.03 / $135.00 / $176.22	Professional	26	$99.03	$135.00	$176.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.04 / $302.45 / $499.36	Professional	TC	$263.04	$302.45	$499.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.29 / $549.27 / $834.21	Professional		$439.29	$549.27	$834.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.62 / $140.88 / $207.52	Professional	26	$108.62	$140.88	$207.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $329.42 / $406.03 / $626.92	Professional	TC	$329.42	$406.03	$626.92
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $149.96 / $151.34 / $302.67	Facility	26	$149.96	$151.34	$302.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $304.98 / $517.15	Professional		$95.64	$304.98	$517.15
United Facility/Professional Professional Modifier Low / Median / High Price $383.39 / $529.36 / $878.51	Professional		$383.39	$529.36	$878.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.89 / $131.88 / $217.78	Professional	26	$95.89	$131.88	$217.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $287.50 / $392.06 / $569.01	Professional	TC	$287.50	$392.06	$569.01