Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.46 / $160.46 / $231.16	Facility	26	$160.46	$160.46	$231.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $270.67 / $629.66	Professional		$233.86	$270.67	$629.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.25 / $160.46 / $356.61	Professional	26	$144.25	$160.46	$356.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.11 / $99.72 / $165.56	Professional	TC	$90.11	$99.72	$165.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.81 / $311.33 / $400.28	Professional		$206.81	$311.33	$400.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $155.32 / $155.32 / $217.40	Professional	26	$155.32	$155.32	$217.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $233.50 / $373.54	Professional		$201.00	$233.50	$373.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.47 / $173.87 / $297.14	Professional	26	$144.47	$173.87	$297.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.00 / $56.92 / $144.88	Professional	TC	$32.00	$56.92	$144.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $297.94 / $475.52	Professional		$102.55	$297.94	$475.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $164.38 / $199.09 / $307.29	Professional	26	$164.38	$199.09	$307.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.72 / $123.09 / $187.45	Professional	TC	$101.72	$123.09	$187.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $179.96 / $274.66 / $406.14	Facility	26	$179.96	$274.66	$406.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $161.53 / $296.64	Professional		$95.64	$161.53	$296.64
United Facility/Professional Professional Modifier Low / Median / High Price $241.34 / $295.31 / $466.28	Professional		$241.34	$295.31	$466.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $147.47 / $172.18 / $269.58	Professional	26	$147.47	$172.18	$269.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.24 / $106.82 / $156.44	Professional	TC	$91.24	$106.82	$156.44