Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.07 / $42.07 / $74.06	Facility	26	$42.07	$42.07	$74.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.43 / $293.82 / $482.08	Professional		$250.43	$293.82	$482.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.07 / $44.68 / $82.95	Professional	26	$42.07	$44.68	$82.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.36 / $250.34 / $418.44	Professional	TC	$208.36	$250.34	$418.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.04 / $49.77 / $82.88	Professional	26	$37.04	$49.77	$82.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.31 / $367.00 / $559.34	Professional		$265.31	$367.00	$559.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.30 / $59.00 / $90.29	Professional	26	$46.30	$59.00	$90.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $219.01 / $308.00 / $469.08	Professional	TC	$219.01	$308.00	$469.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.56 / $389.46 / $733.44	Professional		$326.56	$389.46	$733.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.53 / $62.64 / $123.22	Professional	26	$53.53	$62.64	$123.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $273.02 / $325.61 / $610.22	Professional	TC	$273.02	$325.61	$610.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $69.59 / $116.69 / $215.95	Facility	26	$69.59	$116.69	$215.95
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 / $250.20 / $355.81	Professional		$41.02	$250.20	$355.81
United Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $377.82 / $591.70	Professional		$298.95	$377.82	$591.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.51 / $59.71 / $96.58	Professional	26	$47.51	$59.71	$96.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.16 / $307.07 / $495.12	Professional	TC	$250.16	$307.07	$495.12