Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.09 / $64.09 / $234.09	Facility	26	$64.09	$64.09	$234.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.76 / $433.43 / $1,355.25	Professional		$354.76	$433.43	$1,355.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.09 / $71.50 / $230.53	Professional	26	$64.09	$71.50	$230.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $290.67 / $365.81 / $600.49	Professional	TC	$290.67	$365.81	$600.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.98 / $405.79 / $679.46	Professional		$301.98	$405.79	$679.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.26 / $98.36 / $126.47	Professional	26	$70.26	$98.36	$126.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $307.20 / $430.09 / $430.09	Professional	TC	$307.20	$430.09	$430.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.48 / $838.00 / $1,473.46	Professional		$377.48	$838.00	$1,473.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.26 / $231.00 / $307.05	Professional	26	$70.26	$231.00	$307.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $307.20 / $607.00 / $814.96	Professional	TC	$307.20	$607.00	$814.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.33 / $545.92 / $1,039.00	Professional		$422.33	$545.92	$1,039.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.14 / $95.63 / $187.70	Professional	26	$80.14	$95.63	$187.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $342.19 / $452.53 / $851.30	Professional	TC	$342.19	$452.53	$851.30
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $112.44 / $113.33 / $232.76	Facility	26	$112.44	$113.33	$232.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,066.15 / $1,066.15 / $1,066.15	Professional		$1,066.15	$1,066.15	$1,066.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $322.04 / $486.93	Professional		$94.64	$322.04	$486.93
United Facility/Professional Professional Modifier Low / Median / High Price $410.38 / $554.53 / $964.67	Professional		$410.38	$554.53	$964.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.76 / $109.36 / $179.42	Professional	26	$72.76	$109.36	$179.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $342.06 / $456.84 / $785.25	Professional	TC	$342.06	$456.84	$785.25