Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.38 / $15.75 / $19.69	Facility	26	$9.38	$15.75	$19.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $46.24 / $167.98	Professional		$35.31	$46.24	$167.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $12.91 / $31.03	Professional	26	$9.38	$12.91	$31.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.93 / $33.76 / $68.17	Professional	TC	$25.93	$33.76	$68.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $45.41 / $45.41	Professional		$45.41	$45.41	$45.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.53 / $17.53 / $17.53	Professional	26	$17.53	$17.53	$17.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $32.36 / $56.47	Professional		$8.90	$32.36	$56.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $53.83 / $77.98	Professional		$39.33	$53.83	$77.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $16.55 / $23.22	Professional	26	$10.90	$16.55	$23.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.67 / $40.14 / $54.41	Professional	TC	$28.67	$40.14	$54.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $32.34 / $54.68	Professional		$15.25	$32.34	$54.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $68.39 / $105.40	Professional		$41.40	$68.39	$105.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $16.55 / $22.50	Professional	26	$10.91	$16.55	$22.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.59 / $40.14 / $54.41	Professional	TC	$28.59	$40.14	$54.41
United Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $46.56 / $101.91	Professional		$42.20	$46.56	$101.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.32 / $13.71 / $29.23	Professional	26	$12.32	$13.71	$29.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.21 / $32.85 / $64.63	Professional	TC	$29.21	$32.85	$64.63