Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $380.76 / $470.94	Facility		$150.47	$380.76	$470.94
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.04 / $6.04 / $12.78	Facility	26	$6.04	$6.04	$12.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.98 / $18.98 / $37.75	Facility	TC	$18.98	$18.98	$37.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $34.78 / $143.00	Professional		$25.03	$34.78	$143.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $8.69 / $37.96	Professional	26	$7.66	$8.69	$37.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.52 / $20.21 / $94.43	Professional	52	$12.52	$20.21	$94.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $23.89 / $60.24	Professional	TC	$18.98	$23.89	$60.24
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 $5.77 / $23.22 / $41.62	Professional		$5.77	$23.22	$41.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $23.97 / $23.97	Facility		$23.97	$23.97	$23.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $39.04 / $58.44	Professional		$28.40	$39.04	$58.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $11.36 / $15.44	Professional	26	$7.27	$11.36	$15.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.95 / $27.32 / $41.27	Professional	TC	$20.95	$27.32	$41.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $32.34 / $39.40	Professional		$9.89	$32.34	$39.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $34.74 / $39.97	Facility		$25.73	$34.74	$39.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $51.06 / $75.62	Professional		$29.42	$51.06	$75.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $11.75 / $15.44	Professional	26	$7.27	$11.75	$15.44
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.83 / $29.33 / $41.27	Professional	TC	$20.83	$29.33	$41.27
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $33.20 / $72.90	Professional		$27.77	$33.20	$72.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $9.18 / $20.89	Professional	26	$7.99	$9.18	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.47 / $24.54 / $51.30	Professional	TC	$19.47	$24.54	$51.30