Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $239.88 / $346.74	Facility	26	$190.55	$239.88	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $1,023.29	Professional		$380.19	$501.19	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $371.54 / $645.65	Professional	26	$190.55	$371.54	$645.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $251.19 / $457.09	Professional	TC	$190.55	$251.19	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $645.65	Professional		$346.74	$371.54	$645.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $218.78 / $323.59	Professional	26	$169.82	$218.78	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $758.58	Professional		$467.74	$549.54	$758.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $263.03 / $354.81	Professional	26	$229.09	$263.03	$354.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $281.84 / $380.19	Professional	TC	$239.88	$281.84	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $933.25	Professional		$489.78	$616.60	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $309.03 / $446.68	Professional	26	$234.42	$309.03	$446.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $316.23 / $512.86	Professional	TC	$251.19	$316.23	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	26	$416.87	$416.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $851.14	Professional		$426.58	$549.54	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $269.15 / $416.87	Professional	26	$208.93	$269.15	$416.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $288.40 / $436.52	Professional	TC	$223.87	$288.40	$436.52