Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $92.20 / $105.55	Facility	26	$45.12	$92.20	$105.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $158.85 / $337.60	Professional		$127.23	$158.85	$337.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $54.75 / $133.60	Professional	26	$46.10	$54.75	$133.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.28 / $103.98 / $138.97	Professional	TC	$79.28	$103.98	$138.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $136.47	Professional		$136.47	$136.47	$136.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $97.21 / $166.65	Professional		$36.70	$97.21	$166.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $197.63 / $264.30	Professional		$121.51	$197.63	$264.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.79 / $66.93 / $96.98	Professional	26	$44.79	$66.93	$96.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.72 / $123.13 / $167.32	Professional	TC	$76.72	$123.13	$167.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $164.93	Professional		$32.34	$32.34	$164.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $231.75 / $329.96	Professional		$141.16	$231.75	$329.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $46.34 / $71.45 / $92.67	Professional	26	$46.34	$71.45	$92.67
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $76.72 / $123.13 / $167.32	Professional	TC	$76.72	$123.13	$167.32
United Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $141.08 / $345.26	Professional		$126.72	$141.08	$345.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.98 / $50.60 / $119.28	Professional	26	$45.98	$50.60	$119.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.03 / $92.44 / $218.12	Professional	TC	$83.03	$92.44	$218.12