Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $512.86	Facility		$190.55	$338.84	$512.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $33.11 / $95.50	Facility	26	$32.36	$33.11	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $676.08	Professional		$112.20	$165.96	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.44 / $81.28	Professional	26	$19.05	$23.44	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $123.03 / $275.42	Professional	TC	$93.33	$123.03	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $123.03	Professional		$114.82	$114.82	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $602.56 / $977.24	Facility		$269.15	$602.56	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $89.13 / $162.18	Professional		$15.85	$89.13	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $275.42	Professional		$125.89	$190.55	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.84 / $40.74	Professional	26	$21.38	$28.84	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $162.18 / $229.09	Professional	TC	$104.71	$162.18	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $302.00	Facility		$128.82	$186.21	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $295.12	Professional		$141.25	$234.42	$295.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $31.62 / $40.74	Professional	26	$21.38	$31.62	$40.74
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $169.82 / $239.88	Professional	TC	$112.20	$169.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $933.25 / $933.25	Facility		$426.58	$933.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $323.59	Professional		$134.90	$234.42	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.11 / $43.65	Professional	26	$22.91	$33.11	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $199.53 / $281.84	Professional	TC	$112.20	$199.53	$281.84