Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.18 / $190.19 / $340.25	Facility	26	$190.18	$190.19	$340.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.05 / $504.95 / $986.73	Professional		$393.05	$504.95	$986.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.19 / $215.47 / $427.23	Professional	26	$190.19	$215.47	$427.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $202.87 / $265.89 / $693.98	Professional	TC	$202.87	$265.89	$693.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $508.53 / $508.53 / $508.53	Professional		$508.53	$508.53	$508.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $172.59 / $325.37 / $380.66	Professional	26	$172.59	$325.37	$380.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.47 / $1,611.00 / $1,952.15	Professional		$455.47	$1,611.00	$1,952.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $212.66 / $337.50 / $438.24	Professional	26	$212.66	$337.50	$438.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.54 / $1,237.50 / $1,535.08	Professional	TC	$229.54	$1,237.50	$1,535.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.62 / $790.38 / $1,673.96	Professional		$501.62	$790.38	$1,673.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $217.81 / $304.00 / $445.51	Professional	26	$217.81	$304.00	$445.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $264.48 / $410.20 / $1,358.04	Professional	TC	$264.48	$410.20	$1,358.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $329.36 / $440.00 / $666.85	Facility	26	$329.36	$440.00	$666.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.32 / $398.32 / $398.32	Professional		$398.32	$398.32	$398.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.29 / $312.14 / $564.85	Professional		$191.29	$312.14	$564.85
United Facility/Professional Professional Modifier Low / Median / High Price $463.97 / $677.67 / $1,351.90	Professional		$463.97	$677.67	$1,351.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $210.07 / $279.58 / $430.94	Professional	26	$210.07	$279.58	$430.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.30 / $378.89 / $838.19	Professional	TC	$240.30	$378.89	$838.19