Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $57.54 / $165.96	Facility	26	$46.77	$57.54	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $870.96	Professional		$169.82	$223.87	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $39.81 / $128.82	Professional	26	$31.62	$39.81	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $169.82 / $446.68	Professional	TC	$134.90	$169.82	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $181.97	Professional		$165.96	$177.83	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $128.82 / $229.09	Professional		$26.92	$128.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $407.38	Professional		$186.21	$281.84	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $44.67 / $61.66	Professional	26	$32.36	$44.67	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $239.88 / $354.81	Professional	TC	$147.91	$239.88	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $446.68	Professional		$213.80	$346.74	$446.68
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $44.67 / $63.10	Professional	26	$30.20	$44.67	$63.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $251.19 / $354.81	Professional	TC	$165.96	$251.19	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $457.09	Professional		$204.17	$338.84	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $75.86	Professional	26	$37.15	$48.98	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $281.84 / $389.05	Professional	TC	$162.18	$281.84	$389.05