Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $12.02 / $12.02	Facility	26	$11.75	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $97.72	Professional		$21.38	$32.36	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $28.18	Professional	26	$6.03	$7.94	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $56.23	Professional	TC	$15.85	$22.91	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $21.88 / $37.15	Professional		$6.03	$21.88	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $57.54	Professional		$26.92	$38.90	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $15.85	Professional	26	$7.08	$10.96	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $27.54 / $41.69	Professional	TC	$19.50	$27.54	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $32.36 / $36.31	Professional		$14.79	$32.36	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $72.44	Professional		$28.84	$47.86	$72.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $15.85	Professional	26	$7.41	$11.22	$15.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $29.51 / $41.69	Professional	TC	$21.38	$29.51	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $31.62 / $61.66	Professional		$29.51	$31.62	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.12 / $17.38	Professional	26	$7.94	$9.12	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $22.91 / $43.65	Professional	TC	$20.89	$22.91	$43.65