Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.71 / $57.71 / $83.10	Facility	26	$57.71	$57.71	$83.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $366.53 / $929.30	Professional		$286.02	$366.53	$929.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $57.71 / $210.60	Professional	26	$51.32	$57.71	$210.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.69 / $310.72 / $626.12	Professional	TC	$234.69	$310.72	$626.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.96 / $378.03 / $619.27	Professional		$345.96	$378.03	$619.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.84 / $74.27 / $92.97	Professional	26	$55.84	$74.27	$92.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $273.44 / $273.44 / $304.44	Professional	TC	$273.44	$273.44	$304.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $209.97 / $427.34	Professional		$124.00	$209.97	$427.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.94 / $66.00 / $109.38	Professional	26	$51.94	$66.00	$109.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.00 / $103.17 / $353.82	Professional	TC	$58.00	$103.17	$353.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $387.19 / $701.73	Professional		$186.53	$387.19	$701.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.67 / $72.01 / $108.94	Professional	26	$55.67	$72.01	$108.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.40 / $336.24 / $589.64	Professional	TC	$128.40	$336.24	$589.64
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $56.27 / $73.00 / $116.76	Facility	26	$56.27	$73.00	$116.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.74 / $326.33 / $535.07	Professional		$65.74	$326.33	$535.07
United Facility/Professional Professional Modifier Low / Median / High Price $213.62 / $371.05 / $601.46	Professional		$213.62	$371.05	$601.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.35 / $62.15 / $100.68	Professional	26	$51.35	$62.15	$100.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.38 / $303.14 / $484.52	Professional	TC	$151.38	$303.14	$484.52