Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.21 / $190.21 / $274.22	Facility	26	$190.21	$190.21	$274.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.87 / $299.23 / $684.12	Professional		$272.87	$299.23	$684.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $167.96 / $190.21 / $422.30	Professional	26	$167.96	$190.21	$422.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.00 / $110.95 / $178.49	Professional	TC	$99.00	$110.95	$178.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.52 / $313.54 / $466.33	Professional		$260.52	$313.54	$466.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $184.24 / $245.09 / $329.01	Professional	26	$184.24	$245.09	$329.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $273.55 / $433.31	Professional		$233.00	$273.55	$433.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $171.39 / $210.00 / $355.74	Professional	26	$171.39	$210.00	$355.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.00 / $58.70 / $161.97	Professional	TC	$33.00	$58.70	$161.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $345.66 / $549.69	Professional		$102.55	$345.66	$549.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $195.05 / $236.36 / $364.01	Professional	26	$195.05	$236.36	$364.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.64 / $137.62 / $207.02	Professional	TC	$113.64	$137.62	$207.02
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $213.31 / $325.33 / $482.18	Facility	26	$213.31	$325.33	$482.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $227.07 / $391.19	Professional		$95.64	$227.07	$391.19
United Facility/Professional Professional Modifier Low / Median / High Price $270.62 / $310.37 / $515.58	Professional		$270.62	$310.37	$515.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $175.07 / $203.92 / $351.00	Professional	26	$175.07	$203.92	$351.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.57 / $119.32 / $187.68	Professional	TC	$98.57	$119.32	$187.68