Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.41 / $31.41 / $55.32	Facility	26	$31.41	$31.41	$55.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.60 / $272.00 / $446.79	Professional		$248.60	$272.00	$446.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.41 / $33.43 / $68.04	Professional	26	$31.41	$33.43	$68.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $238.57 / $366.18	Professional	TC	$217.19	$238.57	$366.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.25 / $218.25 / $284.00	Professional		$218.25	$218.25	$284.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.67 / $36.71 / $39.77	Professional	26	$27.67	$36.71	$39.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $264.19 / $383.79	Professional		$236.00	$264.19	$383.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.58 / $82.50 / $117.60	Professional	26	$34.58	$82.50	$117.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.50 / $199.32 / $313.99	Professional	TC	$153.50	$199.32	$313.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $340.26 / $553.10	Professional		$228.16	$340.26	$553.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.00 / $50.45 / $78.23	Professional	26	$36.00	$50.45	$78.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.41 / $296.41 / $477.43	Professional	TC	$186.41	$296.41	$477.43
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $65.00 / $66.00 / $115.47	Facility	26	$65.00	$66.00	$115.47
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 $232.89 / $343.57 / $582.22	Professional		$232.89	$343.57	$582.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.20 / $51.61 / $70.58	Professional	26	$35.20	$51.61	$70.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.32 / $303.87 / $484.06	Professional	TC	$196.32	$303.87	$484.06