Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.30 / $6.30 / $13.33	Facility	26	$6.30	$6.30	$13.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $36.68 / $165.08	Professional		$28.26	$36.68	$165.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.30 / $8.69 / $41.36	Professional	26	$6.30	$8.69	$41.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.96 / $27.65 / $62.27	Professional	TC	$21.96	$27.65	$62.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $36.58 / $36.58	Professional		$36.58	$36.58	$36.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $25.69 / $47.25	Professional		$5.80	$25.69	$47.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $41.48 / $60.77	Professional		$30.79	$41.48	$60.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $10.90 / $15.56	Professional	26	$7.07	$10.90	$15.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $31.03 / $44.86	Professional	TC	$23.78	$31.03	$44.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $32.34 / $44.03	Professional		$10.31	$32.34	$44.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $53.29 / $84.78	Professional		$32.26	$53.29	$84.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $10.99 / $15.22	Professional	26	$7.07	$10.99	$15.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.52 / $32.93 / $44.86	Professional	TC	$23.52	$32.93	$44.86
United Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $36.81 / $80.56	Professional		$31.38	$36.81	$80.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $9.02 / $19.76	Professional	26	$8.34	$9.02	$19.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $27.79 / $59.40	Professional	TC	$22.72	$27.79	$59.40