Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.11 / $46.11 / $46.11	Facility	26	$46.11	$46.11	$46.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $408.13 / $833.18	Professional		$338.67	$408.13	$833.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.11 / $57.27 / $93.03	Professional	26	$46.11	$57.27	$93.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $344.36 / $541.98	Professional	TC	$287.33	$344.36	$541.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $386.38 / $393.53	Professional		$365.98	$386.38	$393.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.96 / $48.96 / $52.65	Professional	26	$48.96	$48.96	$52.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $149.58 / $438.93	Professional		$52.45	$149.58	$438.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.44 / $483.08 / $876.81	Professional		$310.44	$483.08	$876.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.03 / $81.33 / $117.10	Professional	26	$61.03	$81.33	$117.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $256.87 / $422.05 / $758.92	Professional	TC	$256.87	$422.05	$758.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.01 / $615.31	Professional		$32.34	$80.01	$615.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.01 / $564.60 / $1,010.84	Professional		$357.01	$564.60	$1,010.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $61.03 / $77.68 / $101.11	Professional	26	$61.03	$77.68	$101.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $256.87 / $398.15 / $650.50	Professional	TC	$256.87	$398.15	$650.50
United Facility/Professional Professional Modifier Low / Median / High Price $301.74 / $587.04 / $990.64	Professional		$301.74	$587.04	$990.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.72 / $90.35 / $133.66	Professional	26	$66.72	$90.35	$133.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.71 / $518.41 / $856.98	Professional	TC	$231.71	$518.41	$856.98