Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.33 / $200.70 / $200.70	Facility	26	$127.33	$200.70	$200.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.36 / $273.66 / $469.26	Professional		$204.36	$273.66	$469.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.33 / $150.22 / $241.63	Professional	26	$127.33	$150.22	$241.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.02 / $104.53 / $165.56	Professional	TC	$77.02	$104.53	$165.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.08 / $204.08 / $219.44	Professional		$204.08	$204.08	$219.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.27 / $192.46 / $334.52	Professional		$110.27	$192.46	$334.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $366.62 / $510.33	Professional		$266.81	$366.62	$510.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.52 / $224.37 / $324.08	Professional	26	$168.52	$224.37	$324.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.07 / $145.10 / $189.42	Professional	TC	$100.07	$145.10	$189.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $124.69 / $345.39	Professional		$32.34	$124.69	$345.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $391.91 / $581.86	Professional		$266.81	$391.91	$581.86
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $159.12 / $221.52 / $289.91	Professional	26	$159.12	$221.52	$289.91
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $100.07 / $140.10 / $185.66	Professional	TC	$100.07	$140.10	$185.66
United Facility/Professional Professional Modifier Low / Median / High Price $343.66 / $414.18 / $605.94	Professional		$343.66	$414.18	$605.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $205.65 / $254.25 / $361.04	Professional	26	$205.65	$254.25	$361.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.72 / $167.40 / $234.09	Professional	TC	$138.72	$167.40	$234.09