Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $223.44 / $223.44	Facility		$48.27	$223.44	$223.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.09 / $14.87 / $17.03	Facility	26	$8.09	$14.87	$17.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $35.61 / $129.74	Professional		$27.33	$35.61	$129.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $10.45 / $23.92	Professional	26	$8.74	$10.45	$23.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $23.53 / $53.37	Professional	TC	$19.76	$23.53	$53.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $35.71 / $35.71	Professional		$35.71	$35.71	$35.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.01 / $310.12 / $531.83	Facility		$89.01	$310.12	$531.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $25.14 / $43.87	Professional		$7.47	$25.14	$43.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $24.28 / $24.28	Facility		$24.28	$24.28	$24.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $40.76 / $59.85	Professional		$30.96	$40.76	$59.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $13.95 / $20.01	Professional	26	$9.13	$13.95	$20.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.88 / $39.47	Professional	TC	$21.38	$28.88	$39.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.34 / $43.07	Professional		$13.18	$32.34	$43.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $42.63 / $59.84	Facility		$28.91	$42.63	$59.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $52.48 / $81.73	Professional		$32.10	$52.48	$81.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $14.05 / $19.45	Professional	26	$9.14	$14.05	$19.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $28.88 / $39.47	Professional	TC	$21.10	$28.88	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $36.09 / $77.41	Professional		$32.46	$36.09	$77.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $11.55 / $28.81	Professional	26	$10.27	$11.55	$28.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $24.54 / $52.12	Professional	TC	$21.28	$24.54	$52.12