Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $196.84 / $609.55	Facility		$46.07	$196.84	$609.55
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 $15.77 / $27.43 / $479.10	Facility	TC	$15.77	$27.43	$479.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $30.31 / $116.06	Professional		$17.27	$30.31	$116.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.63 / $38.00	Professional	26	$7.03	$8.63	$38.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $22.29 / $44.71	Professional	TC	$17.03	$22.29	$44.71
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 / $308.22 / $531.83	Facility		$89.01	$308.22	$531.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $20.10 / $34.46	Professional		$5.55	$20.10	$34.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $19.94 / $19.94	Facility		$19.94	$19.94	$19.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $35.19 / $50.56	Professional		$24.56	$35.19	$50.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $10.46 / $14.33	Professional	26	$6.77	$10.46	$14.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $25.92 / $35.90	Professional	TC	$18.00	$25.92	$35.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $32.34 / $34.44	Professional		$9.52	$32.34	$34.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $35.21 / $43.52	Facility		$23.10	$35.21	$43.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $43.31 / $64.92	Professional		$26.95	$43.31	$64.92
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $10.46 / $14.04	Professional	26	$6.77	$10.46	$14.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $26.25 / $35.90	Professional	TC	$17.94	$26.25	$35.90
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 $26.69 / $32.15 / $69.12	Professional		$26.69	$32.15	$69.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $8.66 / $18.97	Professional	26	$7.66	$8.66	$18.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.75 / $20.57 / $43.21	Professional	TC	$18.75	$20.57	$43.21