Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.78 / $156.15 / $178.75	Facility	26	$64.78	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.06 / $475.00 / $895.94	Professional		$224.06	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.66 / $140.00 / $264.06	Professional	26	$69.66	$140.00	$264.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $112.03 / $350.00 / $350.00	Professional	52	$112.03	$350.00	$350.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.28 / $335.00 / $616.91	Professional	TC	$159.28	$335.00	$616.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.44 / $225.44 / $225.44	Professional		$225.44	$225.44	$225.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $161.47 / $326.36	Professional		$49.72	$161.47	$326.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.16 / $565.91 / $836.57	Professional		$237.16	$565.91	$836.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.70 / $94.24 / $134.57	Professional	26	$60.70	$94.24	$134.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.02 / $482.55 / $713.33	Professional	TC	$168.02	$482.55	$713.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.09 / $319.27	Professional		$32.34	$85.09	$319.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.52 / $565.91 / $762.75	Professional		$305.52	$565.91	$762.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.17 / $101.16 / $134.57	Professional	26	$63.17	$101.16	$134.57
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $168.02 / $482.55 / $719.89	Professional	TC	$168.02	$482.55	$719.89
United Facility/Professional Professional Modifier Low / Median / High Price $229.76 / $478.24 / $793.92	Professional		$229.76	$478.24	$793.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.05 / $63.81 / $168.49	Professional	26	$61.05	$63.81	$168.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.95 / $384.10 / $663.95	Professional	TC	$165.95	$384.10	$663.95