Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.39 / $29.40 / $51.80	Facility	26	$29.39	$29.40	$51.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $300.52 / $496.06	Professional		$244.45	$300.52	$496.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.40 / $31.27 / $63.19	Professional	26	$29.40	$31.27	$63.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $215.05 / $270.12 / $451.51	Professional	TC	$215.05	$270.12	$451.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.83 / $34.36 / $37.24	Professional	26	$25.83	$34.36	$37.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $373.00 / $552.12	Professional		$258.77	$373.00	$552.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.38 / $41.00 / $62.62	Professional	26	$32.38	$41.00	$62.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.39 / $332.00 / $489.51	Professional	TC	$226.39	$332.00	$489.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $395.92 / $715.92	Professional		$331.98	$395.92	$715.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.38 / $43.72 / $86.11	Professional	26	$37.38	$43.72	$86.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $293.94 / $351.34 / $629.82	Professional	TC	$293.94	$351.34	$629.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $62.85 / $93.59 / $148.83	Facility	26	$62.85	$93.59	$148.83
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 $302.16 / $361.34 / $544.67	Professional		$302.16	$361.34	$544.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $41.41 / $67.45	Professional	26	$33.22	$41.41	$67.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $266.80 / $327.37 / $534.22	Professional	TC	$266.80	$327.37	$534.22