Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.91 / $45.91 / $45.91	Facility	26	$45.91	$45.91	$45.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $134.84 / $207.17	Professional		$116.12	$134.84	$207.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.09 / $44.16 / $64.93	Professional	26	$40.09	$44.16	$64.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.64 / $89.76 / $139.51	Professional	TC	$72.64	$89.76	$139.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $106.63 / $109.49	Professional		$100.00	$106.63	$109.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $130.00 / $231.23	Professional		$106.63	$130.00	$231.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.10 / $49.46 / $80.04	Professional	26	$41.10	$49.46	$80.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.53 / $85.00 / $149.46	Professional	TC	$65.53	$85.00	$149.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $155.09 / $265.31	Professional		$113.40	$155.09	$265.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.02 / $57.41 / $88.47	Professional	26	$46.02	$57.41	$88.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.06 / $103.26 / $189.59	Professional	TC	$64.06	$103.26	$189.59
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.49 / $60.00 / $96.75	Facility	26	$51.49	$60.00	$96.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $100.32 / $184.01	Professional		$45.41	$100.32	$184.01
United Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $139.97 / $277.37	Professional		$107.72	$139.97	$277.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.55 / $49.53 / $84.58	Professional	26	$42.55	$49.53	$84.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.18 / $86.40 / $179.68	Professional	TC	$65.18	$86.40	$179.68