Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.31 / $101.75 / $101.75	Facility	26	$64.31	$101.75	$101.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $151.37 / $344.16	Professional		$121.14	$151.37	$344.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.31 / $75.31 / $122.07	Professional	26	$64.31	$75.31	$122.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.05 / $61.75 / $103.58	Professional	TC	$47.05	$61.75	$103.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $111.19 / $119.56	Professional		$111.19	$111.19	$119.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.09 / $87.09 / $87.09	Professional	26	$87.09	$87.09	$87.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $110.94 / $206.62	Professional		$55.47	$110.94	$206.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.68 / $196.14 / $277.92	Professional		$144.68	$196.14	$277.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.79 / $112.86 / $162.16	Professional	26	$84.79	$112.86	$162.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.89 / $85.64 / $117.55	Professional	TC	$59.89	$85.64	$117.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.95 / $186.97	Professional		$32.34	$75.95	$186.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.68 / $209.67 / $318.69	Professional		$144.68	$209.67	$318.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $79.34 / $110.50 / $144.63	Professional	26	$79.34	$110.50	$144.63
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $59.89 / $82.69 / $109.58	Professional	TC	$59.89	$82.69	$109.58
United Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $226.05 / $330.06	Professional		$184.15	$226.05	$330.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.16 / $128.81 / $180.11	Professional	26	$102.16	$128.81	$180.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.52 / $100.09 / $144.57	Professional	TC	$80.52	$100.09	$144.57