Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.40 / $764.26 / $933.11	Facility		$220.40	$764.26	$933.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.64 / $49.71 / $49.71	Facility	26	$30.64	$49.71	$49.71
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $228.11 / $249.09 / $642.07	Facility	TC	$228.11	$249.09	$642.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.31 / $245.58 / $974.00	Professional		$189.31	$245.58	$974.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $35.25 / $181.00	Professional	26	$26.96	$35.25	$181.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $194.53 / $375.25	Professional	TC	$162.34	$194.53	$375.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $152.46 / $152.46	Professional		$152.46	$152.46	$152.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.60 / $810.43 / $1,389.81	Facility		$232.60	$810.43	$1,389.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $163.16 / $300.08	Professional		$26.99	$163.16	$300.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.69 / $191.69 / $191.69	Facility		$191.69	$191.69	$191.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.69 / $367.94 / $512.00	Professional		$242.69	$367.94	$512.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.16 / $43.43 / $61.50	Professional	26	$31.16	$43.43	$61.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.11 / $327.16 / $463.48	Professional	TC	$218.11	$327.16	$463.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.38 / $344.22	Professional		$32.34	$57.38	$344.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.17 / $287.61 / $440.81	Facility		$216.17	$287.61	$440.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.17 / $451.76 / $569.03	Professional		$272.17	$451.76	$569.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $31.39 / $44.02 / $61.50	Professional	26	$31.39	$44.02	$61.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $227.52 / $327.16 / $463.48	Professional	TC	$227.52	$327.16	$463.48
United Facility/Professional Professional Modifier Low / Median / High Price $283.95 / $415.00 / $578.46	Professional		$283.95	$415.00	$578.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.58 / $50.85 / $81.03	Professional	26	$35.58	$50.85	$81.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.40 / $363.60 / $506.37	Professional	TC	$242.40	$363.60	$506.37