Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $84.75 / $231.80	Facility		$48.63	$84.75	$231.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.30 / $11.64 / $13.33	Facility	26	$6.30	$11.64	$13.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.75 / $30.84 / $35.31	Facility	TC	$17.75	$30.84	$35.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $33.75 / $137.25	Professional		$26.46	$33.75	$137.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.69 / $34.85	Professional	26	$7.33	$8.69	$34.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $23.45 / $50.25	Professional	TC	$19.14	$23.45	$50.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $31.76 / $31.76	Professional		$31.76	$31.76	$31.76
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 $7.02 / $22.35 / $41.10	Professional		$7.02	$22.35	$41.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $22.42 / $22.42	Facility		$22.42	$22.42	$22.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $36.88 / $53.01	Professional		$27.30	$36.88	$53.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $10.90 / $15.56	Professional	26	$7.35	$10.90	$15.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $27.98 / $37.09	Professional	TC	$19.98	$27.98	$37.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $32.34 / $38.29	Professional		$10.31	$32.34	$38.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $39.03 / $55.76	Facility		$25.71	$39.03	$55.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $46.48 / $71.80	Professional		$28.37	$46.48	$71.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $10.99 / $15.22	Professional	26	$7.36	$10.99	$15.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $27.98 / $37.09	Professional	TC	$19.80	$27.98	$37.09
United Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $31.76 / $69.52	Professional		$29.21	$31.76	$69.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.02 / $19.76	Professional	26	$8.36	$9.02	$19.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $22.74 / $48.61	Professional	TC	$20.55	$22.74	$48.61