Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.61 / $55.61 / $55.61	Facility	26	$55.61	$55.61	$55.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $164.25 / $204.09	Professional		$141.51	$164.25	$204.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $69.56 / $103.31	Professional	26	$61.35	$69.56	$103.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.93 / $144.93 / $144.93	Professional		$144.93	$144.93	$144.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $95.01 / $95.01 / $95.01	Professional	26	$95.01	$95.01	$95.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $107.31 / $179.71	Professional		$48.07	$107.31	$179.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.59 / $219.66 / $290.26	Professional		$170.59	$219.66	$290.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.31 / $97.80 / $125.90	Professional	26	$74.31	$97.80	$125.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $96.20 / $214.78	Professional		$32.34	$96.20	$214.78
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $246.71 / $405.84	Professional		$172.04	$246.71	$405.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $74.51 / $98.21 / $127.52	Professional	26	$74.51	$98.21	$127.52
United Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $229.50 / $316.68	Professional		$162.00	$229.50	$316.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.58 / $97.52 / $140.05	Professional	26	$68.58	$97.52	$140.05