Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.27 / $72.27 / $178.75	Facility	26	$72.27	$72.27	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.47 / $475.00 / $992.83	Professional		$307.47	$475.00	$992.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.27 / $140.00 / $264.06	Professional	26	$72.27	$140.00	$264.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $235.20 / $335.00 / $557.00	Professional	TC	$235.20	$335.00	$557.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.29 / $306.29 / $306.29	Professional		$306.29	$306.29	$306.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $219.84 / $483.35	Professional		$64.40	$219.84	$483.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $584.75 / $876.25	Professional		$324.58	$584.75	$876.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.48 / $104.23 / $148.59	Professional	26	$67.48	$104.23	$148.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.49 / $492.54 / $727.66	Professional	TC	$247.49	$492.54	$727.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $94.48 / $368.20	Professional		$32.34	$94.48	$368.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.78 / $655.75 / $895.80	Professional		$406.78	$655.75	$895.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $70.47 / $112.25 / $148.59	Professional	26	$70.47	$112.25	$148.59
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $247.49 / $492.54 / $727.66	Professional	TC	$247.49	$492.54	$727.66
United Facility/Professional Professional Modifier Low / Median / High Price $315.66 / $515.84 / $999.44	Professional		$315.66	$515.84	$999.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.03 / $71.17 / $182.48	Professional	26	$66.03	$71.17	$182.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.49 / $429.49 / $845.31	Professional	TC	$244.49	$429.49	$845.31