Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.42 / $47.42 / $47.42	Facility	26	$47.42	$47.42	$47.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.61 / $290.33 / $389.90	Professional		$264.61	$290.33	$389.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.42 / $49.03 / $53.78	Professional	26	$47.42	$49.03	$53.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $240.20 / $336.10	Professional	TC	$217.19	$240.20	$336.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.95 / $51.95 / $51.95	Professional	26	$51.95	$51.95	$51.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $295.35 / $488.46	Professional		$261.00	$295.35	$488.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.95 / $57.75 / $96.71	Professional	26	$51.95	$57.75	$96.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $206.00 / $240.81 / $403.83	Professional	TC	$206.00	$240.81	$403.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.17 / $430.66 / $774.98	Professional		$359.17	$430.66	$774.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.35 / $70.54 / $138.88	Professional	26	$60.35	$70.54	$138.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $297.82 / $360.12 / $636.09	Professional	TC	$297.82	$360.12	$636.09
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $81.39 / $82.29 / $172.37	Facility	26	$81.39	$82.29	$172.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $270.01 / $362.92	Professional		$41.02	$270.01	$362.92
United Facility/Professional Professional Modifier Low / Median / High Price $326.91 / $446.75 / $693.43	Professional		$326.91	$446.75	$693.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.92 / $72.31 / $120.01	Professional	26	$53.92	$72.31	$120.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.33 / $331.70 / $555.94	Professional	TC	$270.33	$331.70	$555.94