Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.78 / $82.78 / $82.78	Facility	26	$82.78	$82.78	$82.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.09 / $160.86 / $232.50	Professional		$126.09	$160.86	$232.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.61 / $80.29 / $104.63	Professional	26	$71.61	$80.29	$104.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.39 / $79.62 / $93.17	Professional	TC	$51.39	$79.62	$93.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.70 / $79.70 / $84.31	Professional	26	$79.70	$79.70	$84.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.56 / $175.70 / $268.39	Professional		$140.56	$175.70	$268.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.14 / $134.00 / $193.98	Professional	26	$74.14	$134.00	$193.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.00 / $58.70 / $98.00	Professional	TC	$33.00	$58.70	$98.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $168.82 / $292.83	Professional		$92.55	$168.82	$292.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.55 / $103.53 / $156.68	Professional	26	$81.55	$103.53	$156.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.88 / $93.41 / $153.50	Professional	TC	$30.88	$93.41	$153.50
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $81.52 / $105.00 / $175.30	Facility	26	$81.52	$105.00	$175.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $116.92 / $211.73	Professional		$63.76	$116.92	$211.73
United Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $175.51 / $280.04	Professional		$114.39	$175.51	$280.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.66 / $90.47 / $139.63	Professional	26	$72.66	$90.47	$139.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.21 / $83.35 / $140.41	Professional	TC	$35.21	$83.35	$140.41