Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.57 / $4.57 / $4.57	Facility	26	$4.57	$4.57	$4.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $79.43	Professional		$15.85	$28.84	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $11.48	Professional	26	$2.00	$3.02	$11.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $20.89 / $41.69	Professional	TC	$14.13	$20.89	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $22.39	Professional		$19.95	$19.95	$22.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $15.85 / $25.70	Professional		$2.19	$15.85	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $54.95	Professional		$20.89	$33.11	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $5.01 / $11.48	Professional	26	$2.75	$5.01	$11.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $28.18 / $38.02	Professional	TC	$17.78	$28.18	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.88 / $64.57	Facility		$22.39	$33.88	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $57.54	Professional		$23.44	$38.90	$57.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $5.13 / $6.92	Professional	26	$3.16	$5.13	$6.92
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $29.51 / $36.31	Professional	TC	$18.20	$29.51	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $162.18 / $162.18	Facility		$74.13	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $67.61	Professional		$22.39	$39.81	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $6.46 / $17.38	Professional	26	$3.24	$6.46	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $33.88 / $48.98	Professional	TC	$19.50	$33.88	$48.98