Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.75 / $171.05 / $699.15	Facility	26	$83.75	$171.05	$699.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.19 / $457.47 / $1,618.00	Professional		$322.19	$457.47	$1,618.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.53 / $102.88 / $351.13	Professional	26	$84.53	$102.88	$351.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $236.53 / $358.02 / $649.67	Professional	TC	$236.53	$358.02	$649.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.97 / $333.97 / $333.97	Professional		$333.97	$333.97	$333.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $238.90 / $439.34	Professional		$88.95	$238.90	$439.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.57 / $535.28 / $809.20	Professional		$327.57	$535.28	$809.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.83 / $126.16 / $181.30	Professional	26	$82.83	$126.16	$181.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $233.21 / $399.48 / $627.90	Professional	TC	$233.21	$399.48	$627.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $116.94 / $402.12	Professional		$32.34	$116.94	$402.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.48 / $619.15 / $832.54	Professional		$401.48	$619.15	$832.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $85.96 / $128.55 / $171.93	Professional	26	$85.96	$128.55	$171.93
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $233.21 / $390.53 / $627.90	Professional	TC	$233.21	$390.53	$627.90
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $408.10 / $845.18	Professional		$317.50	$408.10	$845.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.08 / $93.09 / $223.76	Professional	26	$87.08	$93.09	$223.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.38 / $312.95 / $625.91	Professional	TC	$230.38	$312.95	$625.91