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 $316.31 / $347.94 / $769.30	Professional		$316.31	$347.94	$769.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $291.47 / $682.22	Professional	TC	$264.98	$291.47	$682.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $357.39 / $357.39 / $357.39	Professional		$357.39	$357.39	$357.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $206.09 / $405.87	Professional		$52.45	$206.09	$405.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $450.26 / $814.75	Professional		$306.00	$450.26	$814.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.92 / $378.01 / $696.86	Professional	TC	$236.92	$378.01	$696.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.01 / $559.19	Professional		$32.34	$80.01	$559.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.07 / $512.76 / $921.85	Professional		$334.07	$512.76	$921.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $236.92 / $367.23 / $597.30	Professional	TC	$236.92	$367.23	$597.30
United Facility/Professional Professional Modifier Low / Median / High Price $300.80 / $543.40 / $898.28	Professional		$300.80	$543.40	$898.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.88 / $450.33 / $764.63	Professional	TC	$230.88	$450.33	$764.63