Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.88 / $38.88 / $38.88	Facility	26	$38.88	$38.88	$38.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.89 / $273.08 / $480.51	Professional		$243.89	$273.08	$480.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $38.88 / $67.08	Professional	26	$35.15	$38.88	$67.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.35 / $231.15 / $344.73	Professional	TC	$206.35	$231.15	$344.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.86 / $49.31 / $63.04	Professional	26	$37.86	$49.31	$63.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $254.81 / $411.25	Professional		$219.67	$254.81	$411.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $48.00 / $72.63	Professional	26	$35.22	$48.00	$72.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.00 / $207.67 / $352.50	Professional	TC	$181.00	$207.67	$352.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $297.35 / $487.01	Professional		$258.70	$297.35	$487.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.09 / $45.16 / $73.40	Professional	26	$39.09	$45.16	$73.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.94 / $254.11 / $408.61	Professional	TC	$218.94	$254.11	$408.61
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $45.32 / $46.06 / $80.47	Facility	26	$45.32	$46.06	$80.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $897.52	Professional		$187.72	$187.72	$897.52
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $138.18 / $138.18 / $138.18	Professional	26	$138.18	$138.18	$138.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $221.49 / $348.93	Professional		$45.41	$221.49	$348.93
United Facility/Professional Professional Modifier Low / Median / High Price $230.99 / $281.63 / $455.22	Professional		$230.99	$281.63	$455.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $42.64 / $69.06	Professional	26	$33.75	$42.64	$69.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.24 / $242.59 / $377.30	Professional	TC	$197.24	$242.59	$377.30