Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.10 / $14.91 / $17.07	Facility	26	$8.10	$14.91	$17.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $40.68 / $175.05	Professional		$34.17	$40.68	$175.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.82 / $25.05	Professional	26	$9.41	$10.82	$25.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.65 / $29.48 / $63.49	Professional	TC	$22.65	$29.48	$63.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $38.29 / $38.29	Professional		$38.29	$38.29	$38.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $10.18 / $10.18	Professional	26	$10.18	$10.18	$10.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $27.16 / $48.70	Professional		$7.71	$27.16	$48.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $47.46 / $67.13	Professional		$32.90	$47.46	$67.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $13.95 / $19.52	Professional	26	$9.43	$13.95	$19.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $33.51 / $48.44	Professional	TC	$23.82	$33.51	$48.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $32.34 / $46.16	Professional		$13.22	$32.34	$46.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $58.41 / $87.07	Professional		$36.51	$58.41	$87.07
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $14.10 / $19.52	Professional	26	$9.44	$14.10	$19.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $36.09 / $48.44	Professional	TC	$23.80	$36.09	$48.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $39.04 / $87.30	Professional		$38.11	$39.04	$87.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $11.91 / $24.50	Professional	26	$10.55	$11.91	$24.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.05 / $28.81 / $59.40	Professional	TC	$27.05	$28.81	$59.40