Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.35 / $87.36 / $115.30	Facility	26	$87.35	$87.36	$115.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $426.91 / $834.66	Professional		$365.98	$426.91	$834.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.76 / $88.08 / $360.72	Professional	26	$79.76	$88.08	$360.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $327.10 / $507.01	Professional	TC	$284.67	$327.10	$507.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.63 / $409.11 / $710.20	Professional		$347.63	$409.11	$710.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.42 / $112.30 / $141.35	Professional	26	$84.42	$112.30	$141.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $283.23 / $515.79	Professional		$170.00	$283.23	$515.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.53 / $108.00 / $189.90	Professional	26	$78.53	$108.00	$189.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.00 / $131.72 / $393.71	Professional	TC	$63.00	$131.72	$393.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.49 / $466.13 / $800.21	Professional		$263.49	$466.13	$800.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.48 / $113.37 / $166.81	Professional	26	$87.48	$113.37	$166.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.99 / $381.77 / $641.02	Professional	TC	$172.99	$381.77	$641.02
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $89.23 / $115.00 / $185.67	Facility	26	$89.23	$115.00	$185.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $377.01 / $639.71	Professional		$100.11	$377.01	$639.71
United Facility/Professional Professional Modifier Low / Median / High Price $291.77 / $416.83 / $654.01	Professional		$291.77	$416.83	$654.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.88 / $98.35 / $147.43	Professional	26	$80.88	$98.35	$147.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.05 / $326.31 / $548.27	Professional	TC	$195.05	$326.31	$548.27