Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.40 / $10.40 / $21.81	Facility	26	$10.40	$10.40	$21.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $43.88 / $101.64	Professional		$32.61	$43.88	$101.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $13.40 / $28.64	Professional	26	$10.40	$13.40	$28.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $30.90 / $61.20	Professional	TC	$22.21	$30.90	$61.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $42.58 / $42.58	Professional		$42.58	$42.58	$42.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $30.20 / $54.13	Professional		$9.86	$30.20	$54.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $51.34 / $74.45	Professional		$36.86	$51.34	$74.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $16.98 / $24.83	Professional	26	$12.08	$16.98	$24.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.21 / $36.40 / $49.64	Professional	TC	$25.21	$36.40	$49.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $32.34 / $51.36	Professional		$16.89	$32.34	$51.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $63.29 / $97.77	Professional		$39.49	$63.29	$97.77
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $18.01 / $24.83	Professional	26	$12.09	$18.01	$24.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $36.99 / $49.64	Professional	TC	$25.20	$36.99	$49.64
United Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $43.67 / $94.49	Professional		$40.39	$43.67	$94.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $15.16 / $30.81	Professional	26	$12.95	$15.16	$30.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.05 / $29.56 / $59.40	Professional	TC	$27.05	$29.56	$59.40