Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.82 / $107.01 / $507.77	Facility		$53.82	$107.01	$507.77
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.09 / $14.87 / $17.03	Facility	26	$8.09	$14.87	$17.03
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.46 / $38.95 / $403.53	Facility	TC	$22.46	$38.95	$403.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $42.13 / $153.75	Professional		$34.21	$42.13	$153.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $11.15 / $26.01	Professional	26	$8.74	$11.15	$26.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $29.67 / $57.56	Professional	TC	$24.26	$29.67	$57.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $40.20 / $40.20	Professional		$40.20	$40.20	$40.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.03 / $553.82 / $902.43	Facility		$151.03	$553.82	$902.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $28.26 / $51.96	Professional		$7.69	$28.26	$51.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $28.31	Facility		$28.31	$28.31	$28.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $47.25 / $67.62	Professional		$34.57	$47.25	$67.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $14.37 / $20.01	Professional	26	$9.42	$14.37	$20.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $35.19 / $46.65	Professional	TC	$25.14	$35.19	$46.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.34 / $48.43	Professional		$13.18	$32.34	$48.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $32.54 / $106.40	Facility		$28.31	$32.54	$106.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $58.35 / $91.66	Professional		$36.18	$58.35	$91.66
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $14.77 / $20.97	Professional	26	$9.43	$14.77	$20.97
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $35.19 / $46.65	Professional	TC	$25.14	$35.19	$46.65
United Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $41.28 / $84.37	Professional		$37.78	$41.28	$84.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $11.90 / $26.08	Professional	26	$11.23	$11.90	$26.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.55 / $29.56 / $61.62	Professional	TC	$26.55	$29.56	$61.62