Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $210.52 / $642.96	Facility		$74.52	$210.52	$642.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.30 / $11.64 / $27.20	Facility	26	$6.30	$11.64	$27.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.00 / $183.09 / $554.88	Facility	TC	$38.00	$183.09	$554.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $42.69 / $175.00	Professional		$30.22	$42.69	$175.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $10.66 / $38.14	Professional	26	$7.63	$10.66	$38.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $15.86 / $17.85 / $92.72	Professional	50	$15.86	$17.85	$92.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $31.64 / $132.00	Professional	TC	$25.37	$31.64	$132.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $7.35 / $7.94	Professional	26	$7.35	$7.35	$7.94
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 $6.02 / $27.79 / $49.12	Professional		$6.02	$27.79	$49.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Facility		$30.17	$30.17	$30.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $45.67 / $67.94	Professional		$33.60	$45.67	$67.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $11.32 / $15.56	Professional	26	$7.35	$11.32	$15.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.11 / $34.43 / $52.02	Professional	TC	$26.11	$34.43	$52.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $32.34 / $48.23	Professional		$10.31	$32.34	$48.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $39.04 / $51.68	Facility		$29.90	$39.04	$51.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $58.41 / $90.13	Professional		$34.78	$58.41	$90.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $11.32 / $15.22	Professional	26	$7.36	$11.32	$15.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.11 / $36.99 / $52.02	Professional	TC	$26.11	$36.99	$52.02
United Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $39.34 / $89.11	Professional		$32.59	$39.34	$89.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $9.02 / $19.76	Professional	26	$8.34	$9.02	$19.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.31 / $30.32 / $66.61	Professional	TC	$24.31	$30.32	$66.61