Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $125.89 / $134.90	Facility	26	$102.33	$125.89	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $891.25	Professional		$194.98	$288.40	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $91.20 / $223.87	Professional	26	$61.66	$91.20	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $204.17 / $524.81	Professional	TC	$131.83	$204.17	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $154.88 / $269.15	Professional		$54.95	$154.88	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $630.96	Professional		$213.80	$416.87	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $89.13 / $131.83	Professional	26	$57.54	$89.13	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $323.59 / $489.78	Professional	TC	$141.25	$323.59	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $630.96	Professional		$288.40	$436.52	$630.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $100.00 / $131.83	Professional	26	$69.18	$100.00	$131.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $331.13 / $489.78	Professional	TC	$173.78	$331.13	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $588.84	Professional		$213.80	$338.84	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $70.79 / $147.91	Professional	26	$58.88	$70.79	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $281.84 / $446.68	Professional	TC	$141.25	$281.84	$446.68