Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $240.16 / $240.16	Facility		$46.80	$240.16	$240.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.56 / $12.11 / $13.86	Facility	26	$6.56	$12.11	$13.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.98 / $34.68 / $484.21	Facility	TC	$19.98	$34.68	$484.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $37.21 / $149.22	Professional		$26.54	$37.21	$149.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $11.09 / $29.48	Professional	26	$7.34	$11.09	$29.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $25.92 / $51.26	Professional	TC	$19.98	$25.92	$51.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $496.38 / $851.26	Facility		$142.47	$496.38	$851.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $24.60 / $45.24	Professional		$6.26	$24.60	$45.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $25.21	Facility		$25.21	$25.21	$25.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $46.67 / $67.73	Professional		$30.87	$46.67	$67.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $14.46 / $19.53	Professional	26	$7.89	$14.46	$19.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $32.77 / $45.45	Professional	TC	$22.71	$32.77	$45.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $32.34 / $42.16	Professional		$12.42	$32.34	$42.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $46.99 / $56.58	Facility		$28.33	$46.99	$56.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $59.39 / $79.44	Professional		$35.52	$59.39	$79.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $15.06 / $20.49	Professional	26	$9.64	$15.06	$20.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.69 / $32.77 / $45.45	Professional	TC	$22.69	$32.77	$45.45
United Facility/Professional Facility Modifier Low / Median / High Price $209.90 / $209.90 / $465.11	Facility		$209.90	$209.90	$465.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $38.33 / $89.28	Professional		$35.71	$38.33	$89.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.23 / $25.25	Professional	26	$10.47	$12.23	$25.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $25.87 / $58.49	Professional	TC	$23.80	$25.87	$58.49