Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $72.22 / $290.70	Facility	26	$35.32	$72.22	$290.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $180.67 / $294.77	Professional		$95.70	$180.67	$294.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.32 / $42.83 / $118.01	Professional	26	$35.32	$42.83	$118.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.75 / $160.87 / $197.53	Professional	TC	$61.75	$160.87	$197.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Professional		$105.88	$105.88	$105.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $62.27 / $256.20	Professional	26	$32.40	$62.27	$256.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $74.88 / $156.38	Professional		$35.86	$74.88	$156.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $226.38 / $328.70	Professional		$103.61	$226.38	$328.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.08 / $54.05 / $77.15	Professional	26	$35.08	$54.05	$77.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.18 / $169.14 / $250.03	Professional	TC	$65.18	$169.14	$250.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.56 / $127.93	Professional		$32.34	$49.56	$127.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.08 / $217.75 / $320.70	Professional		$144.08	$217.75	$320.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $56.40 / $72.59	Professional	26	$36.29	$56.40	$72.59
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $65.18 / $169.14 / $251.55	Professional	TC	$65.18	$169.14	$251.55
United Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $185.78 / $296.94	Professional		$99.70	$185.78	$296.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $43.67 / $94.81	Professional	26	$34.79	$43.67	$94.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.58 / $148.68 / $210.48	Professional	TC	$62.58	$148.68	$210.48