Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.24 / $61.24 / $61.24	Facility	26	$61.24	$61.24	$61.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $137.88 / $245.80	Professional		$111.45	$137.88	$245.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.53 / $61.34 / $90.71	Professional	26	$54.53	$61.34	$90.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.56 / $67.43 / $150.93	Professional	TC	$54.56	$67.43	$150.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $149.41 / $149.41	Professional		$149.41	$149.41	$149.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $270.20 / $386.04	Professional		$106.73	$270.20	$386.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.37 / $115.00 / $159.08	Professional	26	$55.37	$115.00	$159.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.36 / $143.22 / $226.99	Professional	TC	$51.36	$143.22	$226.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $173.31 / $257.13	Professional		$125.17	$173.31	$257.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.63 / $73.68 / $120.07	Professional	26	$58.63	$73.68	$120.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.28 / $98.88 / $153.69	Professional	TC	$60.28	$98.88	$153.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $66.70 / $106.93 / $130.30	Facility	26	$66.70	$106.93	$130.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.13 / $416.13 / $416.13	Professional		$416.13	$416.13	$416.13
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $215.35 / $215.35 / $215.35	Professional	26	$215.35	$215.35	$215.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $84.10 / $137.35	Professional		$44.14	$84.10	$137.35
United Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $156.79 / $268.14	Professional		$112.15	$156.79	$268.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $65.06 / $112.28	Professional	26	$54.95	$65.06	$112.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.69 / $85.74 / $154.59	Professional	TC	$53.69	$85.74	$154.59