Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.95 / $103.95 / $103.95	Facility	26	$103.95	$103.95	$103.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.24 / $276.57 / $412.86	Professional		$234.24	$276.57	$412.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.56 / $100.30 / $114.75	Professional	26	$90.56	$100.30	$114.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.50 / $176.35 / $303.38	Professional	TC	$141.50	$176.35	$303.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $140.75 / $140.75 / $140.75	Professional	26	$140.75	$140.75	$140.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $262.45 / $420.26	Professional		$201.00	$262.45	$420.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.36 / $126.00 / $196.18	Professional	26	$93.36	$126.00	$196.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.00 / $156.81 / $240.71	Professional	TC	$75.00	$156.81	$240.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.27 / $330.80 / $551.76	Professional		$194.27	$330.80	$551.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.70 / $132.18 / $196.24	Professional	26	$102.70	$132.18	$196.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.19 / $212.32 / $358.52	Professional	TC	$71.19	$212.32	$358.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $102.69 / $133.00 / $220.64	Facility	26	$102.69	$133.00	$220.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $220.08 / $392.09	Professional		$100.11	$220.08	$392.09
United Facility/Professional Professional Modifier Low / Median / High Price $222.02 / $280.62 / $523.11	Professional		$222.02	$280.62	$523.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.43 / $110.72 / $201.59	Professional	26	$94.43	$110.72	$201.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.48 / $170.89 / $389.30	Professional	TC	$122.48	$170.89	$389.30