Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.51 / $67.51 / $158.60	Facility	26	$67.51	$67.51	$158.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.23 / $363.14 / $418.50	Professional		$202.23	$363.14	$418.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $72.55 / $154.51	Professional	26	$62.17	$72.55	$154.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.72 / $277.86 / $341.05	Professional	TC	$134.72	$277.86	$341.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.87 / $66.87 / $66.87	Professional	26	$66.87	$66.87	$66.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $155.83 / $294.95	Professional		$68.17	$155.83	$294.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $412.25 / $630.89	Professional		$219.00	$412.25	$630.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.63 / $92.45 / $132.02	Professional	26	$66.63	$92.45	$132.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.97 / $330.47 / $490.35	Professional	TC	$142.97	$330.47	$490.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.72 / $263.85	Professional		$32.34	$93.72	$263.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.77 / $437.52 / $630.89	Professional		$286.77	$437.52	$630.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.63 / $99.56 / $132.02	Professional	26	$69.63	$99.56	$132.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $142.97 / $330.47 / $498.86	Professional	TC	$142.97	$330.47	$498.86
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $338.20 / $597.36	Professional		$211.36	$338.20	$597.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.29 / $70.86 / $162.57	Professional	26	$59.29	$70.86	$162.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.50 / $279.26 / $450.30	Professional	TC	$140.50	$279.26	$450.30