Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.13 / $156.15 / $178.75	Facility	26	$60.13	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $475.00 / $1,686.10	Professional		$322.00	$475.00	$1,686.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.66 / $140.00 / $264.06	Professional	26	$64.66	$140.00	$264.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.15 / $335.00 / $584.85	Professional	TC	$224.15	$335.00	$584.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.49 / $296.49 / $296.49	Professional		$296.49	$296.49	$296.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $212.48 / $467.17	Professional		$46.06	$212.48	$467.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.49 / $568.89 / $846.54	Professional		$312.49	$568.89	$846.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.28 / $86.31 / $123.06	Professional	26	$56.28	$86.31	$123.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.73 / $492.54 / $723.48	Professional	TC	$248.73	$492.54	$723.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $78.81 / $356.86	Professional		$32.34	$78.81	$356.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.75 / $621.60 / $867.05	Professional		$395.75	$621.60	$867.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.54 / $92.95 / $123.06	Professional	26	$58.54	$92.95	$123.06
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $248.73 / $492.54 / $723.48	Professional	TC	$248.73	$492.54	$723.48
United Facility/Professional Professional Modifier Low / Median / High Price $304.61 / $477.94 / $863.91	Professional		$304.61	$477.94	$863.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.52 / $58.90 / $151.66	Professional	26	$55.52	$58.90	$151.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.71 / $419.99 / $719.95	Professional	TC	$245.71	$419.99	$719.95