Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.30 / $202.60 / $231.93	Facility	26	$99.30	$202.60	$231.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.23 / $394.74 / $578.22	Professional		$252.23	$394.74	$578.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.31 / $118.03 / $503.64	Professional	26	$100.31	$118.03	$503.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.93 / $268.44 / $293.14	Professional	TC	$152.93	$268.44	$293.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.37 / $85.37 / $85.37	Professional	26	$85.37	$85.37	$85.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $226.99 / $474.02	Professional		$80.55	$226.99	$474.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.63 / $554.83 / $828.45	Professional		$311.63	$554.83	$828.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.97 / $148.21 / $213.09	Professional	26	$95.97	$148.21	$213.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.00 / $375.34 / $615.35	Professional	TC	$210.00	$375.34	$615.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $139.30 / $386.78	Professional		$32.34	$139.30	$386.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.69 / $630.54 / $889.06	Professional		$406.69	$630.54	$889.06
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $101.82 / $148.21 / $203.64	Professional	26	$101.82	$148.21	$203.64
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $210.59 / $375.34 / $615.35	Professional	TC	$210.59	$375.34	$615.35
United Facility/Professional Professional Modifier Low / Median / High Price $310.75 / $577.26 / $1,060.19	Professional		$310.75	$577.26	$1,060.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.71 / $111.18 / $264.66	Professional	26	$98.71	$111.18	$264.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.98 / $477.15 / $749.30	Professional	TC	$207.98	$477.15	$749.30