Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.06 / $186.50 / $213.49	Facility	26	$91.06	$186.50	$213.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.28 / $541.83 / $990.55	Professional		$348.28	$541.83	$990.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $125.78 / $476.80	Professional	26	$91.25	$125.78	$476.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.22 / $447.91 / $532.20	Professional	TC	$257.22	$447.91	$532.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $211.22 / $211.22 / $211.22	Professional	26	$211.22	$211.22	$211.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $266.93 / $465.20	Professional		$74.15	$266.93	$465.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.84 / $670.06 / $964.63	Professional		$360.84	$670.06	$964.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $135.47 / $197.98	Professional	26	$90.00	$135.47	$197.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.77 / $518.20 / $734.12	Professional	TC	$257.77	$518.20	$734.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $128.32 / $452.17	Professional		$32.34	$128.32	$452.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $441.89 / $729.39 / $999.71	Professional		$441.89	$729.39	$999.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $93.72 / $137.52 / $187.45	Professional	26	$93.72	$137.52	$187.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $257.77 / $518.20 / $801.74	Professional	TC	$257.77	$518.20	$801.74
United Facility/Professional Professional Modifier Low / Median / High Price $349.71 / $528.64 / $983.70	Professional		$349.71	$528.64	$983.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.23 / $99.85 / $243.83	Professional	26	$90.23	$99.85	$243.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $254.61 / $411.41 / $702.90	Professional	TC	$254.61	$411.41	$702.90