Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.04 / $238.35 / $238.35	Facility	26	$151.04	$238.35	$238.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.46 / $316.85 / $749.56	Professional		$236.46	$316.85	$749.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.04 / $177.94 / $286.75	Professional	26	$151.04	$177.94	$286.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.43 / $116.85 / $189.51	Professional	TC	$85.43	$116.85	$189.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.10 / $239.10 / $257.10	Professional		$239.10	$239.10	$257.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $227.56 / $417.70	Professional		$130.38	$227.56	$417.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.11 / $425.16 / $591.34	Professional		$308.11	$425.16	$591.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $199.25 / $265.29 / $383.79	Professional	26	$199.25	$265.29	$383.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.05 / $162.47 / $213.20	Professional	TC	$112.05	$162.47	$213.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $138.07 / $399.02	Professional		$32.34	$138.07	$399.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.11 / $454.48 / $675.41	Professional		$308.11	$454.48	$675.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $188.67 / $262.69 / $343.81	Professional	26	$188.67	$262.69	$343.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $112.05 / $156.87 / $207.87	Professional	TC	$112.05	$156.87	$207.87
United Facility/Professional Professional Modifier Low / Median / High Price $400.05 / $453.39 / $696.60	Professional		$400.05	$453.39	$696.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $233.06 / $298.10 / $428.17	Professional	26	$233.06	$298.10	$428.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.21 / $180.44 / $260.01	Professional	TC	$149.21	$180.44	$260.01