Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $17.78 / $23.44	Facility	26	$16.22	$17.78	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $43.65 / $144.54	Professional		$22.91	$43.65	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $41.69	Professional	26	$10.00	$14.13	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $77.62	Professional	TC	$19.05	$30.90	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.54 / $32.36	Professional		$23.44	$27.54	$32.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.23	Professional	26	$10.23	$10.23	$10.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Professional	TC	$22.39	$22.39	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $28.84 / $48.98	Professional		$9.12	$28.84	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $72.44	Professional		$35.48	$50.12	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.60 / $23.99	Professional	26	$10.72	$16.60	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $48.98	Professional	TC	$23.99	$32.36	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $47.86	Professional		$22.91	$33.11	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $95.50	Professional		$37.15	$61.66	$95.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.98 / $23.99	Professional	26	$11.22	$16.98	$23.99
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $35.48 / $47.86	Professional	TC	$25.12	$35.48	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $79.43	Professional		$38.90	$41.69	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $13.80 / $26.30	Professional	26	$12.88	$13.80	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $27.54 / $53.70	Professional	TC	$25.70	$27.54	$53.70