Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.30 / $109.30 / $125.13	Facility	26	$53.30	$109.30	$125.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $356.20 / $963.35	Professional		$211.15	$356.20	$963.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.51 / $64.54 / $145.79	Professional	26	$54.51	$64.54	$145.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.15 / $281.72 / $436.02	Professional	TC	$153.15	$281.72	$436.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $227.66 / $227.66	Professional		$227.66	$227.66	$227.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $163.44 / $344.04	Professional		$43.21	$163.44	$344.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.18 / $384.18 / $562.94	Professional		$224.18	$384.18	$562.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $81.52 / $116.05	Professional	26	$52.75	$81.52	$116.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.75 / $308.93 / $446.89	Professional	TC	$169.75	$308.93	$446.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.93 / $274.52	Professional		$32.34	$73.93	$274.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.01 / $448.21 / $582.62	Professional		$272.01	$448.21	$582.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $54.93 / $81.52 / $109.87	Professional	26	$54.93	$81.52	$109.87
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $169.75 / $308.93 / $446.89	Professional	TC	$169.75	$308.93	$446.89
United Facility/Professional Professional Modifier Low / Median / High Price $213.50 / $309.02 / $584.10	Professional		$213.50	$309.02	$584.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.66 / $65.31 / $142.99	Professional	26	$52.66	$65.31	$142.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.97 / $253.53 / $420.31	Professional	TC	$157.97	$253.53	$420.31