Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $176.32 / $361.77	Facility		$40.72	$176.32	$361.77
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 $17.01 / $29.57 / $33.85	Facility	TC	$17.01	$29.57	$33.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $32.36 / $174.26	Professional		$23.05	$32.36	$174.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.75 / $8.35 / $37.28	Professional	26	$6.75	$8.35	$37.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.53 / $18.64 / $169.66	Professional	52	$11.53	$18.64	$169.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $21.30 / $51.18	Professional	TC	$17.01	$21.30	$51.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $496.38 / $851.26	Facility		$142.47	$496.38	$851.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $21.66 / $39.83	Professional		$5.77	$21.66	$39.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $21.49 / $21.49	Facility		$21.49	$21.49	$21.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $34.77 / $51.16	Professional		$26.18	$34.77	$51.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $10.46 / $14.90	Professional	26	$7.05	$10.46	$14.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $25.75 / $35.90	Professional	TC	$19.18	$25.75	$35.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $32.34 / $36.74	Professional		$9.89	$32.34	$36.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $34.27 / $40.94	Facility		$24.29	$34.27	$40.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $44.33 / $69.51	Professional		$27.15	$44.33	$69.51
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $10.54 / $14.60	Professional	26	$7.06	$10.54	$14.60
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $18.95 / $26.18 / $35.90	Professional	TC	$18.95	$26.18	$35.90
United Facility/Professional Facility Modifier Low / Median / High Price $235.69 / $235.69 / $235.69	Facility		$235.69	$235.69	$235.69
United Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $30.68 / $65.70	Professional		$26.33	$30.68	$65.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $8.66 / $18.97	Professional	26	$7.71	$8.66	$18.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $22.02 / $44.11	Professional	TC	$18.39	$22.02	$44.11