Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $524.81	Facility		$128.82	$186.21	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $34.67 / $97.72	Facility	26	$27.54	$34.67	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $562.34	Professional		$100.00	$141.25	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $27.54 / $109.65	Professional	26	$19.05	$27.54	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $229.09	Professional	TC	$93.33	$114.82	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $870.96	Facility		$208.93	$524.81	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $97.72 / $181.97	Professional		$16.60	$97.72	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $112.20	Facility		$20.42	$20.42	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $323.59	Professional		$141.25	$223.87	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $27.54 / $38.90	Professional	26	$20.89	$27.54	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $194.98 / $288.40	Professional	TC	$117.49	$194.98	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $181.97 / $302.00	Facility		$128.82	$181.97	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $363.08	Professional		$158.49	$275.42	$363.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.84 / $39.81	Professional	26	$19.95	$28.84	$39.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $204.17 / $302.00	Professional	TC	$131.83	$204.17	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $457.09 / $457.09	Facility		$204.17	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $354.81	Professional		$154.88	$257.04	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $46.77	Professional	26	$23.99	$30.90	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $223.87 / $309.03	Professional	TC	$128.82	$223.87	$309.03