Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.84 / $147.44 / $370.00	Facility		$44.84	$147.44	$370.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.56 / $12.11 / $13.86	Facility	26	$6.56	$12.11	$13.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.48 / $33.83 / $1,059.46	Facility	TC	$19.48	$33.83	$1,059.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $35.25 / $137.60	Professional		$20.75	$35.25	$137.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $9.69 / $40.00	Professional	26	$8.26	$9.69	$40.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $24.79 / $60.43	Professional	TC	$20.96	$24.79	$60.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $6.45 / $12.30	Professional	26	$6.45	$6.45	$12.30
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 $6.26 / $24.38 / $41.79	Professional		$6.26	$24.38	$41.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $24.59 / $24.59	Facility		$24.59	$24.59	$24.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $38.72 / $55.45	Professional		$29.68	$38.72	$55.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $11.76 / $16.21	Professional	26	$7.65	$11.76	$16.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.32 / $28.88 / $39.82	Professional	TC	$22.32	$28.88	$39.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $32.34 / $41.77	Professional		$10.74	$32.34	$41.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $28.07 / $91.82	Facility		$24.59	$28.07	$91.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $49.60 / $78.67	Professional		$31.05	$49.60	$78.67
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $12.07 / $17.17	Professional	26	$7.65	$12.07	$17.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $28.88 / $38.29	Professional	TC	$22.13	$28.88	$38.29
United Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $35.01 / $71.89	Professional		$32.60	$35.01	$71.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $10.23 / $21.06	Professional	26	$9.38	$10.23	$21.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $25.63 / $50.55	Professional	TC	$22.40	$25.63	$50.55