Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.67 / $286.73 / $1,153.07	Professional		$263.67	$286.73	$1,153.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.84 / $65.18 / $217.47	Professional	26	$38.84	$65.18	$217.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $156.60 / $238.96 / $849.46	Professional	TC	$156.60	$238.96	$849.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.56 / $63.56 / $63.56	Professional	26	$63.56	$63.56	$63.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $347.28 / $435.58	Professional		$341.00	$347.28	$435.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.13 / $118.00 / $150.97	Professional	26	$59.13	$118.00	$150.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.00 / $234.15 / $289.58	Professional	TC	$223.00	$234.15	$289.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.22 / $181.58 / $441.97	Professional		$101.22	$181.58	$441.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.00 / $33.93 / $96.01	Professional	26	$32.00	$33.93	$96.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.02 / $128.27 / $376.83	Professional	TC	$69.02	$128.27	$376.83
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $96.02 / $96.02 / $96.45	Facility	26	$96.02	$96.02	$96.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $306.37 / $458.73	Professional		$45.28	$306.37	$458.73
United Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $247.07 / $576.49	Professional		$119.89	$247.07	$576.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $45.72 / $134.97	Professional	26	$36.95	$45.72	$134.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.26 / $206.57 / $436.26	Professional	TC	$81.26	$206.57	$436.26