Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.33 / $128.33 / $369.26	Facility	26	$128.33	$128.33	$369.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $371.84 / $477.82	Professional		$317.47	$371.84	$477.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.33 / $131.81 / $182.28	Professional	26	$128.33	$131.81	$182.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $243.51 / $295.52	Professional	TC	$185.65	$243.51	$295.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $154.69 / $154.69 / $154.69	Professional	26	$154.69	$154.69	$154.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $439.53 / $664.64	Professional		$378.00	$439.53	$664.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $143.90 / $195.00 / $307.50	Professional	26	$143.90	$195.00	$307.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.00 / $274.70 / $375.65	Professional	TC	$183.00	$274.70	$375.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.90 / $490.38 / $871.04	Professional		$362.90	$490.38	$871.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $156.81 / $203.59 / $301.00	Professional	26	$156.81	$203.59	$301.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $202.53 / $284.95 / $570.42	Professional	TC	$202.53	$284.95	$570.42
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $218.13 / $219.66 / $450.29	Facility	26	$218.13	$219.66	$450.29
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 $158.95 / $318.94 / $570.51	Professional		$158.95	$318.94	$570.51
United Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $460.88 / $801.82	Professional		$316.02	$460.88	$801.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $139.28 / $191.48 / $313.24	Professional	26	$139.28	$191.48	$313.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.75 / $294.39 / $488.58	Professional	TC	$176.75	$294.39	$488.58