Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.90 / $31.90 / $67.23	Facility	26	$31.90	$31.90	$67.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $126.81 / $629.73	Professional		$107.15	$126.81	$629.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $33.21 / $78.73	Professional	26	$29.91	$33.21	$78.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.26 / $94.46 / $177.96	Professional	TC	$75.26	$94.46	$177.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $132.93 / $132.93	Professional		$132.93	$132.93	$132.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $95.15 / $192.07	Professional		$32.54	$95.15	$192.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $159.13 / $234.03	Professional		$118.41	$159.13	$234.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.79 / $47.89 / $70.48	Professional	26	$35.79	$47.89	$70.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.24 / $114.66 / $170.90	Professional	TC	$82.24	$114.66	$170.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.04 / $160.19	Professional		$32.34	$52.04	$160.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $205.21 / $321.56	Professional		$122.88	$205.21	$321.56
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $47.89 / $63.13	Professional	26	$36.10	$47.89	$63.13
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $82.24 / $121.02 / $170.90	Professional	TC	$82.24	$121.02	$170.90
United Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $140.75 / $306.52	Professional		$116.73	$140.75	$306.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.44 / $46.19 / $90.07	Professional	26	$33.44	$46.19	$90.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.37 / $94.56 / $211.10	Professional	TC	$83.37	$94.56	$211.10