Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $348.84 / $613.71	Professional		$140.15	$348.84	$613.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.89 / $92.89 / $117.71	Professional	26	$92.89	$92.89	$117.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.23 / $80.23 / $104.30	Professional	TC	$80.23	$80.23	$104.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $109.13	Professional		$108.39	$108.39	$109.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.78 / $270.00 / $283.50	Professional		$216.78	$270.00	$283.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.10 / $159.19 / $171.38	Professional	26	$112.10	$159.19	$171.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.99 / $105.20 / $116.34	Professional	TC	$100.99	$105.20	$116.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.95 / $70.95 / $70.95	Facility	26	$70.95	$70.95	$70.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $133.83 / $400.00	Professional		$114.99	$133.83	$400.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.71 / $72.89 / $238.68	Professional	26	$63.71	$72.89	$238.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.87 / $64.94 / $150.63	Professional	TC	$48.87	$64.94	$150.63
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $194.87 / $209.00 / $268.00	Facility	26	$194.87	$209.00	$268.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.98 / $152.92 / $260.41	Professional		$106.98	$152.92	$260.41
United Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $180.27 / $522.91	Professional		$133.44	$180.27	$522.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.52 / $93.72 / $279.77	Professional	26	$72.52	$93.72	$279.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.63 / $79.88 / $243.14	Professional	TC	$57.63	$79.88	$243.14