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 $381.50 / $427.44 / $707.10	Professional		$381.50	$427.44	$707.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $215.74 / $588.12	Professional	26	$188.34	$215.74	$588.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.31 / $239.11 / $392.36	Professional	TC	$191.31	$239.11	$392.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.18 / $465.17 / $562.54	Professional		$346.18	$465.17	$562.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $170.13 / $228.61 / $380.66	Professional	26	$170.13	$228.61	$380.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $551.00 / $858.22	Professional		$445.70	$551.00	$858.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $212.66 / $266.00 / $365.10	Professional	26	$212.66	$266.00	$365.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.06 / $285.00 / $443.91	Professional	TC	$220.06	$285.00	$443.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.15 / $606.84 / $926.32	Professional		$489.15	$606.84	$926.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $231.86 / $303.02 / $448.48	Professional	26	$231.86	$303.02	$448.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.07 / $317.81 / $486.77	Professional	TC	$251.07	$317.81	$486.77
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $319.02 / $406.60 / $666.85	Facility	26	$319.02	$406.60	$666.85
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 $186.50 / $280.51 / $564.85	Professional		$186.50	$280.51	$564.85
United Facility/Professional Professional Modifier Low / Median / High Price $427.90 / $603.05 / $960.70	Professional		$427.90	$603.05	$960.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $208.57 / $286.07 / $463.99	Professional	26	$208.57	$286.07	$463.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.78 / $318.14 / $496.71	Professional	TC	$225.78	$318.14	$496.71