Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $201.40 / $669.60	Facility		$74.52	$201.40	$669.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.30 / $11.64 / $13.33	Facility	26	$6.30	$11.64	$13.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.93 / $236.99 / $367.84	Facility	TC	$32.93	$236.99	$367.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $36.38 / $140.00	Professional		$14.96	$36.38	$140.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.66 / $38.00	Professional	26	$7.33	$10.66	$38.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.09 / $82.92 / $83.04	Professional	50	$66.09	$82.92	$83.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $26.97 / $116.00	Professional	TC	$21.64	$26.97	$116.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $36.26 / $36.26	Professional		$36.26	$36.26	$36.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.94 / $17.14	Professional	26	$6.74	$7.94	$17.14
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 / $25.47 / $42.67	Professional		$6.02	$25.47	$42.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $26.14 / $26.14	Facility		$26.14	$26.14	$26.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $40.22 / $58.98	Professional		$30.51	$40.22	$58.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $10.90 / $15.56	Professional	26	$7.35	$10.90	$15.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.95 / $29.33 / $43.06	Professional	TC	$22.95	$29.33	$43.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $32.34 / $43.64	Professional		$10.31	$32.34	$43.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $37.63 / $47.60	Facility		$27.86	$37.63	$47.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $51.72 / $80.95	Professional		$31.14	$51.72	$80.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $10.99 / $15.22	Professional	26	$7.36	$10.99	$15.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.56 / $31.58 / $43.06	Professional	TC	$22.56	$31.58	$43.06
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 $30.30 / $35.36 / $77.40	Professional		$30.30	$35.36	$77.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.02 / $19.76	Professional	26	$8.36	$9.02	$19.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $26.35 / $54.90	Professional	TC	$21.64	$26.35	$54.90