Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $182.40 / $465.54	Facility		$50.92	$182.40	$465.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.09 / $14.87 / $38.25	Facility	26	$8.09	$14.87	$38.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $46.20 / $233.30 / $383.62	Facility	TC	$46.20	$233.30	$383.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $49.27 / $170.86	Professional		$18.72	$49.27	$170.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $11.51 / $52.02	Professional	26	$9.84	$11.51	$52.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $33.95 / $132.80	Professional	TC	$27.55	$33.95	$132.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $46.30 / $46.30	Professional		$35.26	$46.30	$46.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $21.90 / $21.90	Professional	26	$10.15	$21.90	$21.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $324.39 / $544.91	Facility		$91.20	$324.39	$544.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $32.49 / $59.75	Professional		$8.97	$32.49	$59.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $33.58 / $33.58	Facility		$33.58	$33.58	$33.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $52.91 / $70.61	Professional		$39.28	$52.91	$70.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $13.95 / $20.01	Professional	26	$9.42	$13.95	$20.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.77 / $37.89 / $54.09	Professional	TC	$29.77	$37.89	$54.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.34 / $55.68	Professional		$13.18	$32.34	$55.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $37.49 / $120.99	Facility		$32.03	$37.49	$120.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $65.97 / $103.88	Professional		$41.57	$65.97	$103.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $14.28 / $20.37	Professional	26	$9.43	$14.28	$20.37
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $29.77 / $37.89 / $50.46	Professional	TC	$29.77	$37.89	$50.46
United Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $45.83 / $91.65	Professional		$40.60	$45.83	$91.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.89 / $12.13 / $25.29	Professional	26	$10.89	$12.13	$25.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.40 / $34.28 / $66.84	Professional	TC	$29.40	$34.28	$66.84