Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $294.50 / $294.50 / $425.47	Facility	26	$294.50	$294.50	$425.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.33 / $1,068.84 / $2,884.12	Professional		$1,038.33	$1,068.84	$2,884.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $273.86 / $318.66 / $936.00	Professional	26	$273.86	$318.66	$936.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $743.85 / $766.04 / $2,044.53	Professional	TC	$743.85	$766.04	$2,044.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $372.29 / $476.00 / $476.00	Professional	26	$372.29	$476.00	$476.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.04 / $1,072.89 / $3,116.42	Professional		$662.04	$1,072.89	$3,116.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $265.92 / $598.00 / $1,051.46	Professional	26	$265.92	$598.00	$1,051.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $625.64 / $663.74 / $1,281.95	Professional	TC	$625.64	$663.74	$1,281.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,082.41 / $1,407.47 / $2,499.00	Professional		$1,082.41	$1,407.47	$2,499.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $333.07 / $417.57 / $732.67	Professional	26	$333.07	$417.57	$732.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $749.33 / $965.60 / $1,748.78	Professional	TC	$749.33	$965.60	$1,748.78
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $352.37 / $362.68 / $511.93	Facility	26	$352.37	$362.68	$511.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,266.50 / $2,266.50 / $2,266.50	Professional		$2,266.50	$2,266.50	$2,266.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $306.73 / $764.78 / $1,347.71	Professional		$306.73	$764.78	$1,347.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.18 / $1,455.63 / $1,950.98	Professional		$1,003.18	$1,455.63	$1,950.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $288.47 / $412.85 / $621.19	Professional	26	$288.47	$412.85	$621.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $702.26 / $887.82 / $1,347.24	Professional	TC	$702.26	$887.82	$1,347.24