Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.84 / $181.29 / $207.53	Facility	26	$91.84	$181.29	$207.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.27 / $761.38 / $1,138.79	Professional		$464.27	$761.38	$1,138.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.37 / $144.08 / $492.95	Professional	26	$113.37	$144.08	$492.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $232.14 / $303.10 / $400.49	Professional	52	$232.14	$303.10	$400.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $372.42 / $624.35 / $960.19	Professional	TC	$372.42	$624.35	$960.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $538.78 / $538.78 / $538.78	Professional		$538.78	$538.78	$538.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $424.32 / $735.50	Professional		$109.61	$424.32	$735.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.56 / $960.79 / $1,192.94	Professional		$664.56	$960.79	$1,192.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.34 / $179.21 / $245.43	Professional	26	$127.34	$179.21	$245.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $539.02 / $781.58 / $950.41	Professional	TC	$539.02	$781.58	$950.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $167.22 / $849.28	Professional		$32.34	$167.22	$849.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $664.56 / $989.19 / $1,370.60	Professional		$664.56	$989.19	$1,370.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $127.34 / $179.21 / $227.49	Professional	26	$127.34	$179.21	$227.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $539.02 / $781.58 / $950.41	Professional	TC	$539.02	$781.58	$950.41
United Facility/Professional Professional Modifier Low / Median / High Price $826.08 / $1,042.73 / $1,499.43	Professional		$826.08	$1,042.73	$1,499.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $165.61 / $220.44 / $297.39	Professional	26	$165.61	$220.44	$297.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $660.47 / $846.08 / $1,171.61	Professional	TC	$660.47	$846.08	$1,171.61