Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.84 / $14.44 / $16.54	Facility	26	$7.84	$14.44	$16.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $38.95 / $151.59	Professional		$28.07	$38.95	$151.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.47 / $11.23 / $29.30	Professional	26	$8.47	$11.23	$29.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $28.15 / $60.32	Professional	TC	$20.23	$28.15	$60.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Professional		$36.67	$36.67	$36.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $25.81 / $45.04	Professional		$7.47	$25.81	$45.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $48.78 / $71.97	Professional		$31.52	$48.78	$71.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $15.20 / $20.52	Professional	26	$9.42	$15.20	$20.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $33.18 / $49.04	Professional	TC	$22.71	$33.18	$49.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $32.34 / $44.21	Professional		$12.79	$32.34	$44.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $61.95 / $84.02	Professional		$36.50	$61.95	$84.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $15.20 / $20.52	Professional	26	$9.66	$15.20	$20.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $35.10 / $49.04	Professional	TC	$22.97	$35.10	$49.04
United Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $40.93 / $88.52	Professional		$37.17	$40.93	$88.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $12.26 / $27.85	Professional	26	$11.55	$12.26	$27.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $29.25 / $62.09	Professional	TC	$25.62	$29.25	$62.09