Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.93 / $155.38 / $177.88	Facility	26	$75.93	$155.38	$177.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.76 / $438.87 / $827.79	Professional		$275.76	$438.87	$827.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.23 / $97.15 / $345.77	Professional	26	$81.23	$97.15	$345.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.93 / $346.05 / $563.60	Professional	TC	$152.93	$346.05	$563.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $69.48 / $121.44	Professional	26	$69.48	$69.48	$121.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $197.92 / $354.55	Professional		$61.58	$197.92	$354.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.52 / $528.91 / $794.91	Professional		$270.52	$528.91	$794.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.93 / $120.86 / $175.38	Professional	26	$75.93	$120.86	$175.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.40 / $414.83 / $619.53	Professional	TC	$192.40	$414.83	$619.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $106.28 / $329.71	Professional		$32.34	$106.28	$329.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.20 / $555.63 / $791.09	Professional		$363.20	$555.63	$791.09
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $78.09 / $123.39 / $161.35	Professional	26	$78.09	$123.39	$161.35
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $192.40 / $414.83 / $619.53	Professional	TC	$192.40	$414.83	$619.53
United Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $441.15 / $742.10	Professional		$261.66	$441.15	$742.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.59 / $83.69 / $202.90	Professional	26	$78.59	$83.69	$202.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.52 / $357.46 / $529.45	Professional	TC	$182.52	$357.46	$529.45