Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.71 / $35.72 / $2,117.80	Facility	26	$35.71	$35.72	$2,117.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.27 / $411.83 / $680.84	Professional		$328.27	$411.83	$680.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $38.01 / $86.23	Professional	26	$35.72	$38.01	$86.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $292.54 / $375.12 / $627.04	Professional	TC	$292.54	$375.12	$627.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $373.20 / $373.20 / $373.20	Professional		$373.20	$373.20	$373.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $39.32 / $70.38	Professional	26	$31.19	$39.32	$70.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.16 / $511.00 / $701.38	Professional		$347.16	$511.00	$701.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.32 / $50.00 / $76.42	Professional	26	$39.32	$50.00	$76.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $307.83 / $461.00 / $632.75	Professional	TC	$307.83	$461.00	$632.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.18 / $541.82 / $961.41	Professional		$448.18	$541.82	$961.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.19 / $52.81 / $104.63	Professional	26	$45.19	$52.81	$104.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $401.36 / $486.66 / $856.79	Professional	TC	$401.36	$486.66	$856.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $76.37 / $113.57 / $181.67	Facility	26	$76.37	$113.57	$181.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $399.25 / $399.25 / $399.25	Professional		$399.25	$399.25	$399.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $351.28 / $475.88	Professional		$41.02	$351.28	$475.88
United Facility/Professional Professional Modifier Low / Median / High Price $407.46 / $502.99 / $823.42	Professional		$407.46	$502.99	$823.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.09 / $52.90 / $81.53	Professional	26	$40.09	$52.90	$81.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $370.28 / $437.71 / $649.94	Professional	TC	$370.28	$437.71	$649.94