Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $89.13 / $426.58	Facility		$45.71	$89.13	$426.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $14.45 / $18.20	Facility	26	$13.18	$14.45	$18.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $39.81 / $295.12	Facility	TC	$26.92	$39.81	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $128.82	Professional		$25.12	$39.81	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $43.65	Professional	26	$7.94	$10.96	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $93.33	Professional	TC	$15.14	$25.12	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $26.30	Professional		$19.05	$22.39	$26.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.32 / $8.32	Professional	26	$8.32	$8.32	$8.32
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $15.14 / $26.92	Professional	TC	$12.88	$15.14	$26.92
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 $7.41 / $22.91 / $39.81	Professional		$7.41	$22.91	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $57.54	Professional		$27.54	$39.81	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.49 / $19.95	Professional	26	$8.71	$13.49	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.55 / $38.90	Professional	TC	$17.78	$24.55	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $32.36 / $38.02	Professional		$18.62	$32.36	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $41.69 / $70.79	Facility		$26.92	$41.69	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $75.86	Professional		$29.51	$45.71	$75.86
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.80 / $19.95	Professional	26	$9.12	$13.80	$19.95
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.55 / $33.11	Professional	TC	$17.78	$24.55	$33.11
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 $29.51 / $33.11 / $64.57	Professional		$29.51	$33.11	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $11.75 / $21.88	Professional	26	$10.47	$11.75	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $21.88 / $41.69	Professional	TC	$18.62	$21.88	$41.69