Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $231.80 / $492.64	Facility		$81.31	$231.80	$492.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.33 / $13.48 / $15.44	Facility	26	$7.33	$13.48	$15.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.01 / $29.57 / $403.53	Facility	TC	$17.01	$29.57	$403.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $36.28 / $132.88	Professional		$30.73	$36.28	$132.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $11.21 / $46.81	Professional	26	$7.91	$11.21	$46.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $24.02 / $44.91	Professional	TC	$17.01	$24.02	$44.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Professional		$32.14	$32.14	$32.14
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 $8.05 / $22.64 / $47.28	Professional		$8.05	$22.64	$47.28
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 $27.61 / $42.86 / $61.65	Professional		$27.61	$42.86	$61.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $13.97 / $18.79	Professional	26	$8.81	$13.97	$18.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $28.49 / $41.27	Professional	TC	$19.39	$28.49	$41.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $32.34 / $38.79	Professional		$11.96	$32.34	$38.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $45.45 / $60.11	Facility		$26.17	$45.45	$60.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $54.05 / $72.56	Professional		$31.92	$54.05	$72.56
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $14.20 / $18.79	Professional	26	$8.84	$14.20	$18.79
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.34 / $29.97 / $41.27	Professional	TC	$19.34	$29.97	$41.27
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $34.86 / $72.09	Professional		$32.11	$34.86	$72.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.22 / $23.50	Professional	26	$10.23	$11.22	$23.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $24.64 / $49.41	Professional	TC	$21.65	$24.64	$49.41