Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.18 / $90.19 / $161.36	Facility	26	$90.18	$90.19	$161.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.29 / $179.81 / $362.29	Professional		$114.29	$179.81	$362.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.19 / $101.16 / $217.69	Professional	26	$90.19	$101.16	$217.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $33.64 / $145.90	Professional	TC	$22.20	$33.64	$145.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $145.49 / $175.94	Professional		$110.46	$145.49	$175.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.68 / $154.30 / $196.66	Professional	26	$80.68	$154.30	$196.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.40 / $630.00 / $783.26	Professional		$139.40	$630.00	$783.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $100.85 / $213.00	Professional	26	$60.00	$100.85	$213.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.49 / $388.75 / $690.70	Professional	TC	$34.49	$388.75	$690.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $271.88 / $686.97	Professional		$148.82	$271.88	$686.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.82 / $143.18 / $210.94	Professional	26	$100.82	$143.18	$210.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.79 / $68.26 / $542.04	Professional	TC	$31.79	$68.26	$542.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $151.26 / $181.41 / $361.83	Facility	26	$151.26	$181.41	$361.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $45.83	Professional		$45.83	$45.83	$45.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $104.25 / $174.59	Professional		$30.34	$104.25	$174.59
United Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $219.02 / $438.41	Professional		$132.68	$219.02	$438.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.72 / $132.29 / $220.70	Professional	26	$99.72	$132.29	$220.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.89 / $44.61 / $308.81	Professional	TC	$25.89	$44.61	$308.81