Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.05 / $156.15 / $178.75	Facility	26	$95.05	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.72 / $488.59 / $1,228.32	Professional		$380.72	$488.59	$1,228.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.05 / $143.00 / $377.12	Professional	26	$95.05	$143.00	$377.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $285.67 / $348.53 / $982.01	Professional	TC	$285.67	$348.53	$982.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $379.48 / $379.48 / $379.48	Professional		$379.48	$379.48	$379.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $272.02 / $598.11	Professional		$85.26	$272.02	$598.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.54 / $772.79 / $1,124.19	Professional		$401.54	$772.79	$1,124.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.29 / $137.36 / $196.40	Professional	26	$89.29	$137.36	$196.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $300.56 / $651.28 / $927.78	Professional	TC	$300.56	$651.28	$927.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $126.10 / $456.72	Professional		$32.34	$126.10	$456.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.18 / $813.13 / $1,158.00	Professional		$509.18	$813.13	$1,158.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $92.36 / $143.38 / $184.72	Professional	26	$92.36	$143.38	$184.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $300.56 / $651.28 / $927.78	Professional	TC	$300.56	$651.28	$927.78
United Facility/Professional Professional Modifier Low / Median / High Price $390.20 / $692.84 / $1,272.69	Professional		$390.20	$692.84	$1,272.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $93.25 / $240.95	Professional	26	$87.29	$93.25	$240.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.95 / $599.94 / $1,031.74	Professional	TC	$296.95	$599.94	$1,031.74