Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $106.06 / $139.59	Professional		$85.19	$106.06	$139.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $76.81 / $85.04	Professional	26	$63.08	$76.81	$85.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $116.50 / $116.50 / $116.50	Professional	52	$116.50	$116.50	$116.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $29.96 / $35.26	Professional	TC	$18.19	$29.96	$35.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $106.55 / $173.38	Professional		$96.86	$106.55	$173.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $161.00 / $205.28	Professional		$96.86	$161.00	$205.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.20 / $120.00 / $155.82	Professional	26	$71.20	$120.00	$155.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.66 / $41.00 / $107.94	Professional	TC	$25.66	$41.00	$107.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $111.03 / $200.31	Professional		$83.04	$111.03	$200.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $87.47 / $144.16	Professional	26	$66.34	$87.47	$144.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.09 / $25.17 / $52.06	Professional	TC	$17.09	$25.17	$52.06
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $81.59 / $89.02 / $136.61	Facility	26	$81.59	$89.02	$136.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $113.41 / $157.28	Professional		$33.88	$113.41	$157.28
United Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $94.54 / $127.39	Professional		$80.75	$94.54	$127.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.17 / $74.94 / $106.70	Professional	26	$61.17	$74.94	$106.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.62 / $21.11 / $38.15	Professional	TC	$14.62	$21.11	$38.15