Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $222.74 / $446.77	Professional		$209.50	$222.74	$446.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.98 / $47.82 / $214.80	Professional	26	$31.98	$47.82	$214.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.31 / $193.00 / $772.00	Professional	TC	$168.31	$193.00	$772.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $41.20 / $41.20	Professional	26	$41.19	$41.20	$41.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $362.00 / $462.11	Professional		$243.80	$362.00	$462.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.32 / $88.00 / $112.21	Professional	26	$38.32	$88.00	$112.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.48 / $274.00 / $349.90	Professional	TC	$205.48	$274.00	$349.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $140.47 / $367.30	Professional		$96.29	$140.47	$367.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.97 / $23.27 / $65.91	Professional	26	$21.97	$23.27	$65.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.18 / $119.98 / $322.85	Professional	TC	$74.18	$119.98	$322.85
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $65.91 / $66.25 / $67.34	Facility	26	$65.91	$66.25	$67.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $219.37 / $334.70	Professional		$45.28	$219.37	$334.70
United Facility/Professional Professional Modifier Low / Median / High Price $114.15 / $213.09 / $474.33	Professional		$114.15	$213.09	$474.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.27 / $31.42 / $92.38	Professional	26	$25.27	$31.42	$92.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.34 / $181.24 / $363.93	Professional	TC	$87.34	$181.24	$363.93