Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $293.27 / $475.23	Facility		$45.60	$293.27	$475.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.98 / $12.11 / $41.65	Facility	26	$8.98	$12.11	$41.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $237.56 / $347.68	Facility	TC	$21.88	$237.56	$347.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $21.06 / $83.20	Professional		$17.87	$21.06	$83.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $9.17 / $35.00	Professional	26	$6.56	$9.17	$35.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.74 / $12.54 / $32.35	Professional	TC	$9.74	$12.54	$32.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $12.30 / $54.60	Professional	26	$7.02	$12.30	$54.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.16 / $324.60 / $556.66	Facility		$93.16	$324.60	$556.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $17.69 / $31.72	Professional		$6.04	$17.69	$31.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $15.91 / $15.91	Facility		$15.91	$15.91	$15.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $25.78 / $38.25	Professional		$21.02	$25.78	$38.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $11.34 / $16.21	Professional	26	$7.37	$11.34	$16.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.14 / $14.52 / $23.71	Professional	TC	$11.14	$14.52	$23.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $30.71 / $32.34	Professional		$10.74	$30.71	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $20.54 / $66.93	Facility		$15.52	$20.54	$66.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $33.04 / $57.29	Professional		$21.18	$33.04	$57.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $11.58 / $15.85	Professional	26	$7.37	$11.58	$15.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $11.14 / $14.48 / $23.71	Professional	TC	$11.14	$14.48	$23.71
United Facility/Professional Facility Modifier Low / Median / High Price $194.81 / $194.81 / $194.81	Facility		$194.81	$194.81	$194.81
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $25.98 / $62.40	Professional		$20.05	$25.98	$62.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $9.86 / $20.55	Professional	26	$8.85	$9.86	$20.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.21 / $16.60 / $32.36	Professional	TC	$10.21	$16.60	$32.36