Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $18.66	Facility	26	$8.86	$8.86	$18.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $45.17 / $211.00	Professional		$32.57	$45.17	$211.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $12.55 / $29.30	Professional	26	$8.86	$12.55	$29.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.70 / $31.24 / $67.31	Professional	TC	$23.70	$31.24	$67.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $10.57 / $10.57	Professional	26	$10.57	$10.57	$10.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $29.88 / $53.57	Professional		$8.43	$29.88	$53.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $49.62 / $72.56	Professional		$36.26	$49.62	$72.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $15.69 / $21.97	Professional	26	$10.32	$15.69	$21.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.10 / $35.24 / $49.64	Professional	TC	$26.10	$35.24	$49.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $32.34 / $51.21	Professional		$14.82	$32.34	$51.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $62.54 / $97.00	Professional		$38.17	$62.54	$97.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $15.71 / $21.32	Professional	26	$10.32	$15.71	$21.32
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.08 / $36.54 / $49.64	Professional	TC	$26.08	$36.54	$49.64
United Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $42.95 / $94.81	Professional		$38.95	$42.95	$94.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $12.99 / $32.40	Professional	26	$12.23	$12.99	$32.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.33 / $29.96 / $62.99	Professional	TC	$26.33	$29.96	$62.99