Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.66 / $156.15 / $178.75	Facility	26	$96.66	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.38 / $475.00 / $2,211.19	Professional		$330.38	$475.00	$2,211.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.40 / $143.00 / $495.59	Professional	26	$107.40	$143.00	$495.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.73 / $335.00 / $857.53	Professional	TC	$233.73	$335.00	$857.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.08 / $84.08 / $84.08	Professional	26	$84.08	$84.08	$84.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $238.28 / $460.62	Professional		$74.31	$238.28	$460.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.60 / $817.79 / $1,200.06	Professional		$348.60	$817.79	$1,200.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.79 / $143.88 / $205.37	Professional	26	$90.79	$143.88	$205.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.62 / $690.50 / $994.69	Professional	TC	$245.62	$690.50	$994.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $128.58 / $468.13	Professional		$32.34	$128.58	$468.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $840.16 / $1,102.24	Professional		$450.00	$840.16	$1,102.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $93.92 / $146.22 / $188.17	Professional	26	$93.92	$146.22	$188.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $245.62 / $690.50 / $994.69	Professional	TC	$245.62	$690.50	$994.69
United Facility/Professional Professional Modifier Low / Median / High Price $337.75 / $729.32 / $1,365.13	Professional		$337.75	$729.32	$1,365.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.25 / $102.53 / $252.01	Professional	26	$92.25	$102.53	$252.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.65 / $572.51 / $1,113.11	Professional	TC	$242.65	$572.51	$1,113.11