Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.84 / $45.84 / $45.84	Facility	26	$45.84	$45.84	$45.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $340.72 / $707.97	Professional		$302.81	$340.72	$707.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.84 / $57.46 / $87.06	Professional	26	$45.84	$57.46	$87.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $286.77 / $473.94	Professional	TC	$251.27	$286.77	$473.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.33 / $357.09 / $357.09	Professional		$330.33	$357.09	$357.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.94 / $47.94 / $47.94	Professional	26	$47.94	$47.94	$47.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $174.57 / $422.48	Professional		$52.45	$174.57	$422.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.62 / $431.87 / $747.22	Professional		$278.62	$431.87	$747.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.03 / $81.33 / $116.43	Professional	26	$61.03	$81.33	$116.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.70 / $358.64 / $630.79	Professional	TC	$224.70	$358.64	$630.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.01 / $534.66	Professional		$32.34	$80.01	$534.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.42 / $489.91 / $842.74	Professional		$320.42	$489.91	$842.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $61.03 / $78.20 / $101.76	Professional	26	$61.03	$78.20	$101.76
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $224.70 / $348.28 / $540.94	Professional	TC	$224.70	$348.28	$540.94
United Facility/Professional Professional Modifier Low / Median / High Price $281.06 / $515.00 / $834.29	Professional		$281.06	$515.00	$834.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.05 / $90.20 / $131.15	Professional	26	$67.05	$90.20	$131.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.03 / $424.33 / $701.44	Professional	TC	$211.03	$424.33	$701.44