Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.31 / $86.31 / $86.31	Facility	26	$86.31	$86.31	$86.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.55 / $293.74 / $449.47	Professional		$281.55	$293.74	$449.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.24 / $89.57 / $124.24	Professional	26	$86.24	$89.57	$124.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $195.24 / $204.15 / $325.23	Professional	TC	$195.24	$204.15	$325.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.15 / $362.15 / $362.15	Professional		$362.15	$362.15	$362.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $173.31 / $173.31 / $173.31	Professional	26	$173.31	$173.31	$173.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $327.51 / $487.98	Professional		$287.00	$327.51	$487.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.82 / $118.00 / $171.52	Professional	26	$96.82	$118.00	$171.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.00 / $218.09 / $300.60	Professional	TC	$169.00	$218.09	$300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.73 / $444.64 / $659.53	Professional		$330.73	$444.64	$659.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.19 / $138.10 / $204.01	Professional	26	$106.19	$138.10	$204.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.48 / $301.83 / $457.35	Professional	TC	$222.48	$301.83	$457.35
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $110.36 / $224.33 / $346.40	Facility	26	$110.36	$224.33	$346.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $388.50 / $388.50 / $388.50	Professional		$388.50	$388.50	$388.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $246.00 / $415.03	Professional		$95.64	$246.00	$415.03
United Facility/Professional Professional Modifier Low / Median / High Price $288.64 / $423.12 / $645.58	Professional		$288.64	$423.12	$645.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.47 / $127.45 / $211.51	Professional	26	$94.47	$127.45	$211.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.17 / $295.58 / $449.40	Professional	TC	$194.17	$295.58	$449.40