Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $17.78 / $23.44	Facility	26	$15.85	$17.78	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $199.53	Professional		$37.15	$57.54	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.14 / $48.98	Professional	26	$10.00	$15.14	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $40.74 / $107.15	Professional	TC	$25.70	$40.74	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $41.69	Professional		$28.84	$35.48	$41.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $40.74 / $47.86	Professional	TC	$26.92	$40.74	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $35.48 / $64.57	Professional		$10.47	$35.48	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $91.20	Professional		$42.66	$64.57	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $29.51	Professional	26	$10.96	$18.20	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $47.86 / $64.57	Professional	TC	$30.90	$47.86	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $57.54	Professional		$23.44	$33.11	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $117.49	Professional		$45.71	$83.18	$117.49
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.95 / $29.51	Professional	26	$12.30	$19.95	$29.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $50.12 / $64.57	Professional	TC	$34.67	$50.12	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $95.50	Professional		$48.98	$53.70	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $15.49 / $26.30	Professional	26	$13.49	$15.49	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $38.90 / $69.18	Professional	TC	$35.48	$38.90	$69.18