Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.38 / $17.19 / $19.69	Facility	26	$9.38	$17.19	$19.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $57.62 / $133.88	Professional		$41.08	$57.62	$133.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.67 / $39.22	Professional	26	$12.02	$14.67	$39.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.66 / $41.42 / $80.36	Professional	TC	$28.66	$41.42	$80.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $50.55 / $50.55	Professional		$50.55	$50.55	$50.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $10.63 / $10.63	Professional	26	$10.63	$10.63	$10.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $35.47 / $74.68	Professional		$11.12	$35.47	$74.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $69.93 / $92.11	Professional		$43.03	$69.93	$92.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $18.80 / $26.06	Professional	26	$11.25	$18.80	$26.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.42 / $49.40 / $64.61	Professional	TC	$32.42	$49.40	$64.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $32.34 / $60.79	Professional		$15.81	$32.34	$60.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $80.77 / $113.04	Professional		$50.60	$80.77	$113.04
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.41 / $19.19 / $26.84	Professional	26	$12.41	$19.19	$26.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $32.46 / $50.45 / $62.78	Professional	TC	$32.46	$50.45	$62.78
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $53.58 / $116.26	Professional		$49.08	$53.58	$116.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $15.97 / $32.19	Professional	26	$13.35	$15.97	$32.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $39.04 / $80.56	Professional	TC	$35.72	$39.04	$80.56