Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.90 / $104.54 / $119.68	Facility	26	$50.90	$104.54	$119.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $364.03 / $433.59	Professional		$203.95	$364.03	$433.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.90 / $63.62 / $95.74	Professional	26	$50.90	$63.62	$95.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.04 / $268.30 / $362.21	Professional	TC	$153.04	$268.30	$362.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.82 / $246.82 / $246.82	Professional		$246.82	$246.82	$246.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $176.63 / $316.64	Professional		$41.02	$176.63	$316.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.25 / $433.11 / $630.77	Professional		$243.25	$433.11	$630.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $78.06 / $111.59	Professional	26	$50.12	$78.06	$111.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.50 / $351.96 / $519.17	Professional	TC	$191.50	$351.96	$519.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.56 / $296.61	Professional		$32.34	$70.56	$296.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.08 / $487.08 / $659.27	Professional		$297.08	$487.08	$659.27
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $80.38 / $105.08	Professional	26	$52.54	$80.38	$105.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $191.50 / $351.96 / $519.17	Professional	TC	$191.50	$351.96	$519.17
United Facility/Professional Professional Modifier Low / Median / High Price $234.98 / $351.63 / $658.85	Professional		$234.98	$351.63	$658.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.03 / $56.59 / $136.66	Professional	26	$50.03	$56.59	$136.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.91 / $298.89 / $586.97	Professional	TC	$181.91	$298.89	$586.97