Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $163.11 / $427.12	Facility		$56.40	$163.11	$427.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.23 / $16.54 / $94.62	Facility	26	$13.23	$16.54	$94.62
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.07 / $235.02 / $421.20	Facility	TC	$27.07	$235.02	$421.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $36.24 / $109.60	Professional		$27.58	$36.24	$109.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $11.65 / $42.40	Professional	26	$9.56	$11.65	$42.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $22.12 / $52.00	Professional	TC	$17.92	$22.12	$52.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $32.82 / $32.82	Professional		$32.82	$32.82	$32.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $21.27 / $66.50	Professional	26	$8.36	$21.27	$66.50
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 $7.47 / $23.13 / $41.47	Professional		$7.47	$23.13	$41.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $21.49 / $21.49	Facility		$21.49	$21.49	$21.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $39.40 / $52.69	Professional		$28.14	$39.40	$52.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $13.53 / $19.43	Professional	26	$9.13	$13.53	$19.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $24.83 / $34.79	Professional	TC	$19.18	$24.83	$34.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $32.34 / $39.64	Professional		$12.79	$32.34	$39.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $26.57 / $86.67	Facility		$21.49	$26.57	$86.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $47.07 / $74.84	Professional		$29.59	$47.07	$74.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $13.80 / $18.89	Professional	26	$9.14	$13.80	$18.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $24.83 / $32.90	Professional	TC	$19.18	$24.83	$32.90
United Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $33.20 / $67.94	Professional		$29.27	$33.20	$67.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $11.75 / $27.91	Professional	26	$10.55	$11.75	$27.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $24.21 / $87.90	Professional	TC	$19.70	$24.21	$87.90