Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.38 / $9.38 / $19.69	Facility	26	$9.38	$9.38	$19.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $41.11 / $159.19	Professional		$34.11	$41.11	$159.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.13 / $12.91 / $30.37	Professional	26	$10.13	$12.91	$30.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $26.98 / $67.31	Professional	TC	$22.21	$26.98	$67.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $29.24 / $53.77	Professional		$8.90	$29.24	$53.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $46.34 / $66.70	Professional		$35.65	$46.34	$66.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $16.60 / $23.22	Professional	26	$10.90	$16.60	$23.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $32.03 / $44.71	Professional	TC	$24.83	$32.03	$44.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $32.34 / $50.48	Professional		$15.25	$32.34	$50.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $59.49 / $93.95	Professional		$37.54	$59.49	$93.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $16.88 / $24.23	Professional	26	$10.91	$16.88	$24.23
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $32.03 / $42.47	Professional	TC	$24.83	$32.03	$42.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $42.22 / $86.12	Professional		$37.10	$42.22	$86.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $14.40 / $30.02	Professional	26	$13.31	$14.40	$30.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.84 / $28.51 / $56.10	Professional	TC	$24.84	$28.51	$56.10