Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $98.60 / $448.63	Facility		$38.15	$98.60	$448.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.04 / $11.16 / $12.78	Facility	26	$6.04	$11.16	$12.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.52 / $27.00 / $30.91	Facility	TC	$15.52	$27.00	$30.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $30.31 / $116.05	Professional		$21.56	$30.31	$116.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.35 / $34.56	Professional	26	$6.74	$8.35	$34.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.76 / $21.96 / $46.40	Professional	TC	$16.76	$21.96	$46.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $28.54 / $28.54	Professional		$28.54	$28.54	$28.54
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 $6.74 / $20.10 / $36.96	Professional		$6.74	$20.10	$36.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $19.63 / $19.63	Facility		$19.63	$19.63	$19.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $35.58 / $52.30	Professional		$24.52	$35.58	$52.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $10.02 / $14.61	Professional	26	$7.05	$10.02	$14.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.72 / $25.56 / $37.69	Professional	TC	$17.72	$25.56	$37.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $32.34 / $34.44	Professional		$9.89	$32.34	$34.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $34.68 / $45.29	Facility		$23.10	$34.68	$45.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.84 / $64.92	Professional		$26.92	$44.84	$64.92
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $10.44 / $14.60	Professional	26	$7.06	$10.44	$14.60
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $26.25 / $37.69	Professional	TC	$17.67	$26.25	$37.69
United Facility/Professional Facility Modifier Low / Median / High Price $194.81 / $194.81 / $194.81	Facility		$194.81	$194.81	$194.81
United Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $28.87 / $68.30	Professional		$26.33	$28.87	$68.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $8.66 / $18.18	Professional	26	$7.58	$8.66	$18.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.75 / $21.44 / $44.86	Professional	TC	$18.75	$21.44	$44.86