Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.97 / $156.15 / $178.75	Facility	26	$100.97	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.35 / $475.00 / $924.85	Professional		$310.35	$475.00	$924.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.97 / $140.00 / $522.77	Professional	26	$100.97	$140.00	$522.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.38 / $335.00 / $650.69	Professional	TC	$209.38	$335.00	$650.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.19 / $316.19 / $316.19	Professional		$316.19	$316.19	$316.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $225.62 / $447.66	Professional		$77.70	$225.62	$447.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.84 / $785.97 / $1,149.44	Professional		$327.84	$785.97	$1,149.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.90 / $152.26 / $217.48	Professional	26	$94.90	$152.26	$217.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.86 / $651.28 / $931.96	Professional	TC	$219.86	$651.28	$931.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $134.38 / $381.76	Professional		$32.34	$134.38	$381.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.50 / $785.97 / $1,059.34	Professional		$429.50	$785.97	$1,059.34
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $98.20 / $152.78 / $199.11	Professional	26	$98.20	$152.78	$199.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $219.86 / $651.28 / $931.96	Professional	TC	$219.86	$651.28	$931.96
United Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $715.52 / $1,338.81	Professional		$316.89	$715.52	$1,338.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.75 / $101.78 / $267.02	Professional	26	$97.75	$101.78	$267.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $508.28 / $996.32	Professional	TC	$217.19	$508.28	$996.32