Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.89 / $18.10 / $20.73	Facility	26	$9.89	$18.10	$20.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $55.84 / $195.00	Professional		$44.28	$55.84	$195.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $15.07 / $57.00	Professional	26	$13.02	$15.07	$57.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.02 / $41.79 / $78.81	Professional	TC	$32.02	$41.79	$78.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Professional		$52.49	$52.49	$52.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $36.61 / $80.50	Professional		$11.43	$36.61	$80.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $66.59 / $97.49	Professional		$44.61	$66.59	$97.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $18.95 / $26.84	Professional	26	$11.56	$18.95	$26.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.53 / $48.49 / $68.15	Professional	TC	$33.53	$48.49	$68.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $32.34 / $63.12	Professional		$16.04	$32.34	$63.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $81.41 / $117.63	Professional		$51.22	$81.41	$117.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $19.19 / $26.84	Professional	26	$12.63	$19.19	$26.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.57 / $48.49 / $68.15	Professional	TC	$33.57	$48.49	$68.15
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $53.34 / $113.39	Professional		$51.25	$53.34	$113.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $15.51 / $31.58	Professional	26	$14.07	$15.51	$31.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.07 / $38.79 / $73.15	Professional	TC	$36.07	$38.79	$73.15