Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.43 / $98.82 / $372.30	Facility	26	$48.43	$98.82	$372.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $300.20 / $955.85	Professional		$151.27	$300.20	$955.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.43 / $62.68 / $217.21	Professional	26	$48.43	$62.68	$217.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.84 / $228.97 / $285.08	Professional	TC	$102.84	$228.97	$285.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.27 / $112.67 / $349.30	Professional	26	$48.27	$112.67	$349.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $117.67 / $245.73	Professional		$39.54	$117.67	$245.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.19 / $344.81 / $520.96	Professional		$171.19	$344.81	$520.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.10 / $79.78 / $113.50	Professional	26	$49.10	$79.78	$113.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.98 / $272.38 / $402.64	Professional	TC	$112.98	$272.38	$402.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.67 / $212.87	Professional		$32.34	$67.67	$212.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.19 / $357.86 / $506.97	Professional		$224.19	$357.86	$506.97
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $49.67 / $79.78 / $104.33	Professional	26	$49.67	$79.78	$104.33
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $116.45 / $272.38 / $407.47	Professional	TC	$116.45	$272.38	$407.47
United Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $296.00 / $618.57	Professional		$169.33	$296.00	$618.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.50 / $54.30 / $139.83	Professional	26	$51.50	$54.30	$139.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.03 / $236.97 / $349.73	Professional	TC	$115.03	$236.97	$349.73