Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $211.28 / $329.00	Facility		$47.56	$211.28	$329.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.79 / $10.73 / $12.29	Facility	26	$5.79	$10.73	$12.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.75 / $30.84 / $455.35	Facility	TC	$17.75	$30.84	$455.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $32.42 / $121.70	Professional		$22.42	$32.42	$121.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $8.27 / $34.85	Professional	26	$6.25	$8.27	$34.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $22.42 / $45.59	Professional	TC	$18.82	$22.42	$45.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $31.10 / $31.10	Professional		$31.10	$31.10	$31.10
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 $6.94 / $21.88 / $40.24	Professional		$6.94	$21.88	$40.24
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 $27.01 / $36.88 / $53.61	Professional		$27.01	$36.88	$53.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $10.91 / $14.90	Professional	26	$6.97	$10.91	$14.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.12 / $27.53 / $37.69	Professional	TC	$20.12	$27.53	$37.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $32.34 / $37.49	Professional		$9.55	$32.34	$37.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $39.03 / $50.46	Facility		$25.18	$39.03	$50.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $47.00 / $71.80	Professional		$28.37	$47.00	$71.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $11.29 / $14.80	Professional	26	$6.97	$11.29	$14.80
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $27.53 / $37.69	Professional	TC	$19.66	$27.53	$37.69
United Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $31.76 / $69.52	Professional		$28.85	$31.76	$69.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $8.83 / $19.76	Professional	26	$8.34	$8.83	$19.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $23.10 / $49.76	Professional	TC	$20.19	$23.10	$49.76