Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $141.25 / $154.88	Facility	26	$117.49	$141.25	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $1,202.26	Professional		$229.09	$354.81	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $91.20 / $316.23	Professional	26	$75.86	$91.20	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $223.87 / $691.83	Professional	TC	$147.91	$223.87	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	TC	$177.83	$177.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $199.53 / $331.13	Professional		$61.66	$199.53	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $524.81 / $794.33	Professional		$269.15	$524.81	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $173.78	Professional	26	$75.86	$117.49	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $416.87 / $616.60	Professional	TC	$186.21	$416.87	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $794.33	Professional		$363.08	$549.54	$794.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $123.03 / $173.78	Professional	26	$75.86	$123.03	$173.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $436.52 / $616.60	Professional	TC	$223.87	$436.52	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $741.31	Professional		$263.03	$436.52	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $83.18 / $181.97	Professional	26	$79.43	$83.18	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $354.81 / $575.44	Professional	TC	$181.97	$354.81	$575.44