Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $125.89 / $144.54	Facility	26	$95.50	$125.89	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $457.09 / $1,122.02	Professional		$194.98	$457.09	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $123.03 / $338.84	Professional	26	$64.57	$123.03	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $257.04 / $616.60	Professional	TC	$120.23	$257.04	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $134.90 / $234.42	Professional		$50.12	$134.90	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $524.81 / $776.25	Professional		$186.21	$524.81	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $97.72 / $147.91	Professional	26	$63.10	$97.72	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $407.38 / $630.96	Professional	TC	$120.23	$407.38	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $724.44	Professional		$251.19	$467.74	$724.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $147.91	Professional	26	$66.07	$102.33	$147.91
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $426.58 / $630.96	Professional	TC	$147.91	$426.58	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $436.52 / $812.83	Professional		$186.21	$436.52	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $69.18 / $147.91	Professional	26	$64.57	$69.18	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $323.59 / $602.56	Professional	TC	$123.03	$323.59	$602.56