Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.82 / $53.15 / $60.85	Facility	26	$28.82	$53.15	$60.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $141.18 / $553.00	Professional		$93.66	$141.18	$553.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $39.72 / $102.00	Professional	26	$28.82	$39.72	$102.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.84 / $94.39 / $246.36	Professional	TC	$64.84	$94.39	$246.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.60 / $33.60 / $36.26	Professional	26	$33.60	$33.60	$36.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $85.93 / $167.25	Professional		$27.49	$85.93	$167.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $159.44 / $229.37	Professional		$107.77	$159.44	$229.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.57 / $48.56 / $71.01	Professional	26	$33.57	$48.56	$71.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.17 / $110.89 / $158.36	Professional	TC	$74.17	$110.89	$158.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $147.75	Professional		$32.34	$32.34	$147.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $201.12 / $287.19	Professional		$122.66	$201.12	$287.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.60 / $50.23 / $69.55	Professional	26	$33.60	$50.23	$69.55
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $74.17 / $112.52 / $158.36	Professional	TC	$74.17	$112.52	$158.36
United Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $156.76 / $285.77	Professional		$140.78	$156.76	$285.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.86 / $46.28 / $87.90	Professional	26	$41.86	$46.28	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.04 / $110.48 / $209.35	Professional	TC	$99.04	$110.48	$209.35