Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $14.95	Facility	26	$7.08	$7.08	$14.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $34.47 / $153.28	Professional		$25.08	$34.47	$153.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.76 / $23.50	Professional	26	$7.08	$9.76	$23.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $24.71 / $50.25	Professional	TC	$18.00	$24.71	$50.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $32.46 / $32.46	Professional		$32.46	$32.46	$32.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $23.09 / $40.29	Professional		$7.88	$23.09	$40.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $40.29 / $57.95	Professional		$28.17	$40.29	$57.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $12.65 / $17.52	Professional	26	$8.24	$12.65	$17.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $29.55 / $39.47	Professional	TC	$20.22	$29.55	$39.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $32.34 / $39.18	Professional		$11.57	$32.34	$39.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $49.60 / $74.84	Professional		$31.00	$49.60	$74.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $12.65 / $17.09	Professional	26	$8.25	$12.65	$17.09
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $29.78 / $39.47	Professional	TC	$20.46	$29.78	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $34.49 / $74.70	Professional		$32.35	$34.49	$74.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $10.47 / $22.13	Professional	26	$9.85	$10.47	$22.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $24.64 / $48.61	Professional	TC	$22.36	$24.64	$48.61