Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.66 / $19.53 / $22.36	Facility	26	$10.66	$19.53	$22.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $69.75 / $142.81	Professional		$49.69	$69.75	$142.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $16.94 / $39.77	Professional	26	$11.52	$16.94	$39.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.35 / $50.93 / $100.84	Professional	TC	$35.35	$50.93	$100.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $20.29 / $20.29	Professional	26	$20.29	$20.29	$20.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $42.76 / $73.31	Professional		$10.39	$42.76	$73.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $84.27 / $122.66	Professional		$52.10	$84.27	$122.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $21.76 / $30.15	Professional	26	$13.03	$21.76	$30.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.90 / $60.70 / $90.26	Professional	TC	$39.90	$60.70	$90.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $32.34 / $72.51	Professional		$18.05	$32.34	$72.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $101.87 / $138.25	Professional		$60.94	$101.87	$138.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.41 / $22.24 / $30.82	Professional	26	$14.41	$22.24	$30.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $39.99 / $60.70 / $90.26	Professional	TC	$39.99	$60.70	$90.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $66.30 / $135.27	Professional		$60.27	$66.30	$135.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $18.39 / $35.36	Professional	26	$15.52	$18.39	$35.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $48.27 / $95.39	Professional	TC	$44.75	$48.27	$95.39