Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.81 / $178.51 / $676.60	Facility	26	$142.81	$178.51	$676.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.32 / $360.81 / $818.93	Professional		$281.32	$360.81	$818.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.45 / $91.93 / $329.95	Professional	26	$76.45	$91.93	$329.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.76 / $270.86 / $574.78	Professional	TC	$209.76	$270.86	$574.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.32 / $298.32 / $298.32	Professional		$298.32	$298.32	$298.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.06 / $175.22 / $548.10	Professional	26	$76.06	$175.22	$548.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $212.94 / $381.73	Professional		$61.51	$212.94	$381.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $433.26 / $638.40	Professional		$267.39	$433.26	$638.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.16 / $113.91 / $163.43	Professional	26	$75.16	$113.91	$163.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.23 / $309.58 / $474.97	Professional	TC	$192.23	$309.58	$474.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $106.67 / $359.27	Professional		$32.34	$106.67	$359.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.76 / $538.02 / $742.41	Professional		$325.76	$538.02	$742.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $78.37 / $116.16 / $156.74	Professional	26	$78.37	$116.16	$156.74
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $197.19 / $309.58 / $474.97	Professional	TC	$197.19	$309.58	$474.97
United Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $322.42 / $760.76	Professional		$282.52	$322.42	$760.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.87 / $84.88 / $203.82	Professional	26	$78.87	$84.88	$203.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.08 / $238.35 / $533.54	Professional	TC	$203.08	$238.35	$533.54