Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.10 / $13.66 / $17.07	Facility	26	$8.10	$13.66	$17.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $38.51 / $144.72	Professional		$31.42	$38.51	$144.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $10.87 / $41.97	Professional	26	$8.22	$10.87	$41.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.65 / $28.41 / $62.54	Professional	TC	$22.65	$28.41	$62.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $38.29 / $38.29	Professional		$38.29	$38.29	$38.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $26.94 / $49.55	Professional		$7.71	$26.94	$49.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $43.62 / $63.27	Professional		$32.90	$43.62	$63.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $12.57 / $18.11	Professional	26	$9.19	$12.57	$18.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $33.84 / $46.05	Professional	TC	$23.82	$33.84	$46.05
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 $33.90 / $55.48 / $87.07	Professional		$33.90	$55.48	$87.07
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $13.14 / $17.22	Professional	26	$9.39	$13.14	$17.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.84 / $46.05	Professional	TC	$23.44	$33.84	$46.05
United Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $38.61 / $82.80	Professional		$34.61	$38.61	$82.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $11.91 / $24.31	Professional	26	$9.19	$11.91	$24.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $26.71 / $58.49	Professional	TC	$24.88	$26.71	$58.49