Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.46 / $60.46 / $60.46	Facility	26	$60.46	$60.46	$60.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $164.39 / $250.31	Professional		$148.90	$164.39	$250.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $60.46 / $98.14	Professional	26	$53.70	$60.46	$98.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.20 / $103.93 / $161.05	Professional	TC	$95.20	$103.93	$161.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.23 / $58.23 / $58.23	Professional	26	$58.23	$58.23	$58.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $282.00 / $495.84	Professional		$151.27	$282.00	$495.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.17 / $75.00 / $114.92	Professional	26	$54.17	$75.00	$114.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.10 / $207.00 / $363.97	Professional	TC	$97.10	$207.00	$363.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.79 / $345.31 / $599.16	Professional		$254.79	$345.31	$599.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.41 / $70.44 / $114.15	Professional	26	$55.41	$70.44	$114.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.28 / $280.86 / $485.01	Professional	TC	$198.28	$280.86	$485.01
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $59.24 / $65.39 / $128.13	Facility	26	$59.24	$65.39	$128.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $594.28 / $594.28 / $594.28	Professional		$594.28	$594.28	$594.28
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $380.25 / $380.25 / $380.25	Professional	TC	$380.25	$380.25	$380.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $114.56 / $210.66	Professional		$64.59	$114.56	$210.66
United Facility/Professional Professional Modifier Low / Median / High Price $244.82 / $317.39 / $498.14	Professional		$244.82	$317.39	$498.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.21 / $61.71 / $101.06	Professional	26	$52.21	$61.71	$101.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.30 / $256.24 / $490.88	Professional	TC	$197.30	$256.24	$490.88