Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $66.12 / $517.00	Facility		$57.76	$66.12	$517.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $63.39 / $102.23	Professional		$46.57	$63.39	$102.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $9.98 / $18.82	Professional	26	$9.18	$9.98	$18.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.22 / $53.40 / $59.46	Professional	TC	$33.22	$53.40	$59.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.73 / $4.73 / $4.73	Professional	26	$4.73	$4.73	$4.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $29.02 / $53.82	Professional		$10.00	$29.02	$53.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $68.62 / $96.67	Professional		$32.00	$68.62	$96.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $13.41 / $17.86	Professional	26	$9.25	$13.41	$17.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $56.28 / $78.62	Professional	TC	$22.75	$56.28	$78.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $32.34 / $59.55	Professional		$16.17	$32.34	$59.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $55.66 / $80.70	Facility		$42.30	$55.66	$80.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $80.56 / $110.03	Professional		$39.72	$80.56	$110.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $13.41 / $17.86	Professional	26	$10.91	$13.41	$17.86
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.82 / $56.28 / $78.62	Professional	TC	$28.82	$56.28	$78.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.49 / $79.53	Professional		$25.12	$33.49	$79.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $7.15 / $19.05	Professional	26	$6.53	$7.15	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $23.96 / $56.90	Professional	TC	$17.97	$23.96	$56.90