Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.91 / $19.96 / $22.85	Facility	26	$10.91	$19.96	$22.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $73.87 / $284.61	Professional		$63.39	$73.87	$284.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $17.26 / $39.61	Professional	26	$11.79	$17.26	$39.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.10 / $55.60 / $109.38	Professional	TC	$35.10	$55.60	$109.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $59.61 / $59.61	Professional		$59.61	$59.61	$59.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $41.87 / $74.63	Professional		$10.39	$41.87	$74.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $86.33 / $120.30	Professional		$53.36	$86.33	$120.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $21.83 / $30.29	Professional	26	$13.03	$21.83	$30.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $64.06 / $88.46	Professional	TC	$39.92	$64.06	$88.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $32.34 / $71.75	Professional		$18.19	$32.34	$71.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.55 / $105.48 / $138.25	Professional		$66.55	$105.48	$138.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.41 / $22.67 / $31.83	Professional	26	$14.41	$22.67	$31.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $41.55 / $64.06 / $88.46	Professional	TC	$41.55	$64.06	$88.46
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $69.61 / $142.38	Professional		$60.27	$69.61	$142.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $18.39 / $37.42	Professional	26	$15.52	$18.39	$37.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $51.92 / $104.12	Professional	TC	$44.75	$51.92	$104.12