Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $239.88 / $398.11	Facility		$35.48	$239.88	$398.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $12.30 / $15.49	Facility	26	$10.96	$12.30	$15.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $66.07 / $302.00	Facility	TC	$19.95	$66.07	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $83.18	Professional		$16.60	$26.92	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $40.74	Professional	26	$7.08	$8.91	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $15.85 / $33.88	Professional	TC	$10.00	$15.85	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $20.42	Professional		$16.98	$19.50	$20.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $6.92 / $7.08	Professional	26	$6.76	$6.92	$7.08
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $12.59 / $13.18	Professional	TC	$12.59	$12.59	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $331.13 / $562.34	Facility		$134.90	$331.13	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $17.78 / $30.90	Professional		$6.03	$17.78	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $43.65	Professional		$19.50	$26.30	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $16.60	Professional	26	$7.24	$11.22	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $14.45 / $25.70	Professional	TC	$10.72	$14.45	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $32.36 / $33.11	Professional		$15.49	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $54.95	Facility		$20.89	$30.90	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $58.88	Professional		$20.42	$31.62	$58.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.48 / $16.60	Professional	26	$7.41	$11.48	$16.60
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $14.45 / $23.44	Professional	TC	$10.72	$14.45	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $380.19 / $380.19	Facility		$169.82	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $45.71	Professional		$19.05	$25.70	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $9.77 / $18.20	Professional	26	$8.91	$9.77	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $16.60 / $27.54	Professional	TC	$10.23	$16.60	$27.54