Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.81 / $70.83 / $108.71	Facility	26	$70.81	$70.83	$108.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.86 / $229.24 / $970.77	Professional		$183.86	$229.24	$970.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.19 / $100.79 / $321.30	Professional	26	$66.19	$100.79	$321.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.34 / $142.30 / $220.68	Professional	TC	$114.34	$142.30	$220.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $113.92 / $113.92 / $113.92	Professional	26	$113.92	$113.92	$113.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $214.20 / $413.93	Professional		$165.46	$214.20	$413.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.64 / $121.00 / $197.06	Professional	26	$63.64	$121.00	$197.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.00 / $106.91 / $195.53	Professional	TC	$83.00	$106.91	$195.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.38 / $247.10 / $417.90	Professional		$168.38	$247.10	$417.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.11 / $93.81 / $158.33	Professional	26	$76.11	$93.81	$158.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.39 / $153.76 / $259.56	Professional	TC	$80.39	$153.76	$259.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $81.30 / $131.00 / $206.00	Facility	26	$81.30	$131.00	$206.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.60 / $676.60 / $676.60	Professional		$676.60	$676.60	$676.60
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $252.60 / $252.60 / $252.60	Professional	26	$252.60	$252.60	$252.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $114.56 / $210.82	Professional		$64.59	$114.56	$210.82
United Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $205.14 / $368.16	Professional		$168.29	$205.14	$368.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.42 / $80.94 / $138.59	Professional	26	$63.42	$80.94	$138.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.86 / $120.54 / $215.04	Professional	TC	$99.86	$120.54	$215.04