Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $188.94 / $906.85	Facility		$81.31	$188.94	$906.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $14.35 / $36.54	Facility	26	$11.48	$14.35	$36.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.80 / $233.30 / $554.88	Facility	TC	$29.80	$233.30	$554.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $35.96 / $123.14	Professional		$9.65	$35.96	$123.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $10.11 / $42.00	Professional	26	$8.56	$10.11	$42.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.27 / $19.27 / $19.27	Professional	50	$19.27	$19.27	$19.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $23.87 / $96.30	Professional	TC	$19.14	$23.87	$96.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $33.71 / $68.17	Professional		$25.96	$33.71	$68.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $7.92 / $12.77	Professional	26	$7.27	$7.92	$12.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $493.34 / $851.26	Facility		$142.47	$493.34	$851.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $23.93 / $49.98	Professional		$7.57	$23.93	$49.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $23.66 / $23.66	Facility		$23.66	$23.66	$23.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $39.09 / $56.75	Professional		$28.98	$39.09	$56.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $12.63 / $17.14	Professional	26	$8.07	$12.63	$17.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.83 / $27.98 / $38.31	Professional	TC	$20.83	$27.98	$38.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $32.34 / $40.63	Professional		$11.12	$32.34	$40.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $39.56 / $76.30	Facility		$27.29	$39.56	$76.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $48.69 / $76.38	Professional		$30.02	$48.69	$76.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $13.11 / $17.14	Professional	26	$8.07	$13.11	$17.14
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.75 / $27.98 / $38.29	Professional	TC	$20.75	$27.98	$38.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $33.56 / $72.90	Professional		$29.57	$33.56	$72.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $10.19 / $22.92	Professional	26	$8.74	$10.19	$22.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $23.82 / $48.59	Professional	TC	$20.19	$23.82	$48.59