Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.93 / $95.85 / $109.73	Facility	26	$46.93	$95.85	$109.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $287.22 / $353.25	Professional		$138.13	$287.22	$353.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.93 / $64.59 / $193.00	Professional	26	$46.93	$64.59	$193.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.21 / $231.15 / $283.70	Professional	TC	$91.21	$231.15	$283.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $150.69 / $150.69	Professional		$150.69	$150.69	$150.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.83 / $46.83 / $46.83	Professional	26	$46.83	$46.83	$46.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $107.35 / $197.42	Professional		$38.15	$107.35	$197.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $348.63 / $537.41	Professional		$149.41	$348.63	$537.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $77.81 / $111.33	Professional	26	$49.68	$77.81	$111.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.60 / $274.97 / $418.82	Professional	TC	$97.60	$274.97	$418.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.64 / $181.94	Professional		$32.34	$65.64	$181.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $348.63 / $471.22	Professional		$204.78	$348.63	$471.22
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.24 / $80.17 / $108.89	Professional	26	$51.24	$80.17	$108.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $97.60 / $274.97 / $418.82	Professional	TC	$97.60	$274.97	$418.82
United Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $281.19 / $426.59	Professional		$144.18	$281.19	$426.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $56.72 / $139.19	Professional	26	$49.08	$56.72	$139.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.10 / $218.17 / $317.29	Professional	TC	$95.10	$218.17	$317.29