Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $333.14 / $588.41	Professional		$282.58	$333.14	$588.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.22 / $141.88 / $608.60	Professional	26	$75.22	$141.88	$608.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.94 / $212.43 / $544.17	Professional	TC	$181.94	$212.43	$544.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.59 / $141.04 / $186.49	Professional	26	$65.59	$141.04	$186.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $208.95 / $388.76	Professional		$199.00	$208.95	$388.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.19 / $209.00 / $273.39	Professional	26	$131.19	$209.00	$273.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $255.63 / $1,080.65	Professional	TC	$9.18	$255.63	$1,080.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $202.15 / $459.17	Professional		$121.85	$202.15	$459.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.18 / $72.50 / $271.60	Professional	26	$61.18	$72.50	$271.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.67 / $127.78 / $308.31	Professional	TC	$60.67	$127.78	$308.31
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $145.00 / $205.00 / $273.26	Facility	26	$145.00	$205.00	$273.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $269.57 / $478.42	Professional		$118.34	$269.57	$478.42
United Facility/Professional Professional Modifier Low / Median / High Price $197.51 / $260.44 / $629.33	Professional		$197.51	$260.44	$629.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.98 / $103.60 / $308.47	Professional	26	$80.98	$103.60	$308.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.15 / $175.76 / $386.59	Professional	TC	$116.15	$175.76	$386.59