Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $102.33 / $509.35	Facility		$46.07	$102.33	$509.35
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 $34.10 / $83.36 / $544.77	Facility	TC	$34.10	$83.36	$544.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $43.24 / $158.81	Professional		$30.16	$43.24	$158.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.33 / $44.00	Professional	26	$10.02	$11.33	$44.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $31.69 / $63.49	Professional	TC	$23.19	$31.69	$63.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $38.60 / $38.60	Professional		$29.73	$38.60	$38.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $16.69 / $21.90	Professional	26	$9.40	$16.69	$21.90
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 $7.74 / $27.37 / $57.60	Professional		$7.74	$27.37	$57.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $27.07	Facility		$27.07	$27.07	$27.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $51.32 / $67.73	Professional		$33.46	$51.32	$67.73
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 $24.38 / $36.02 / $47.10	Professional	TC	$24.38	$36.02	$47.10
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 / $48.28 / $56.58	Facility		$31.25	$48.28	$56.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $59.38 / $88.60	Professional		$38.74	$59.38	$88.60
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 $24.36 / $36.72 / $46.05	Professional	TC	$24.36	$36.72	$46.05
United Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $39.95 / $86.12	Professional		$38.22	$39.95	$86.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $11.57 / $27.85	Professional	26	$10.24	$11.57	$27.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.25 / $29.22 / $59.25	Professional	TC	$26.25	$29.22	$59.25