Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $185.44 / $468.90	Facility		$81.31	$185.44	$468.90
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 Facility Modifier TC Low / Median / High Price $33.71 / $42.15 / $296.44	Facility	TC	$33.71	$42.15	$296.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $43.06 / $156.44	Professional		$34.07	$43.06	$156.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.82 / $38.40	Professional	26	$10.02	$11.82	$38.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.92 / $29.86 / $58.71	Professional	TC	$22.92	$29.86	$58.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $38.60 / $38.60	Professional		$38.60	$38.60	$38.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $496.38 / $851.26	Facility		$142.47	$496.38	$851.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $27.14 / $57.13	Professional		$9.61	$27.14	$57.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $26.76 / $26.76	Facility		$26.76	$26.76	$26.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $49.22 / $72.50	Professional		$33.18	$49.22	$72.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $14.86 / $20.01	Professional	26	$9.42	$14.86	$20.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.10 / $34.25 / $50.83	Professional	TC	$24.10	$34.25	$50.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.34 / $46.51	Professional		$13.18	$32.34	$46.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $45.45 / $62.29	Facility		$31.25	$45.45	$62.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $60.55 / $87.84	Professional		$36.56	$60.55	$87.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $15.30 / $20.00	Professional	26	$9.43	$15.30	$20.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.08 / $34.25 / $50.83	Professional	TC	$24.08	$34.25	$50.83
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 $36.43 / $39.40 / $83.71	Professional		$36.43	$39.40	$83.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $11.89 / $26.87	Professional	26	$10.65	$11.89	$26.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.25 / $28.14 / $54.90	Professional	TC	$25.25	$28.14	$54.90