Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.73 / $156.15 / $178.75	Facility	26	$65.73	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $475.00 / $700.00	Professional		$185.36	$475.00	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.90 / $140.00 / $271.00	Professional	26	$68.90	$140.00	$271.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $92.68 / $350.00 / $628.48	Professional	52	$92.68	$350.00	$628.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.63 / $335.00 / $557.00	Professional	TC	$128.63	$335.00	$557.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $189.53 / $189.53	Professional		$146.66	$189.53	$189.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $98.88 / $98.88 / $98.88	Professional	26	$98.88	$98.88	$98.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $135.44 / $242.83	Professional		$50.43	$135.44	$242.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.65 / $514.15 / $760.05	Professional		$194.65	$514.15	$760.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.58 / $95.54 / $136.47	Professional	26	$61.58	$95.54	$136.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.52 / $429.64 / $630.29	Professional	TC	$124.52	$429.64	$630.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $86.31 / $228.94	Professional		$32.34	$86.31	$228.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $472.79 / $692.99	Professional		$257.77	$472.79	$692.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $98.23 / $136.47	Professional	26	$64.06	$98.23	$136.47
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $124.52 / $429.64 / $630.29	Professional	TC	$124.52	$429.64	$630.29
United Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $430.69 / $793.94	Professional		$187.74	$430.69	$793.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.31 / $64.86 / $167.48	Professional	26	$61.31	$64.86	$167.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.01 / $305.24 / $560.22	Professional	TC	$123.01	$305.24	$560.22