Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.04 / $11.16 / $12.78	Facility	26	$6.04	$11.16	$12.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $31.70 / $112.18	Professional		$20.92	$31.70	$112.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.35 / $37.28	Professional	26	$7.03	$8.35	$37.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $22.42 / $46.22	Professional	TC	$17.75	$22.42	$46.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $31.75 / $31.75	Professional		$31.75	$31.75	$31.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $7.05 / $7.62	Professional	26	$6.47	$7.05	$7.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $22.33 / $38.28	Professional		$5.77	$22.33	$38.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $36.02 / $52.95	Professional		$27.01	$36.02	$52.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $10.46 / $14.90	Professional	26	$7.05	$10.46	$14.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.12 / $26.25 / $37.69	Professional	TC	$20.12	$26.25	$37.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $32.34 / $38.26	Professional		$9.89	$32.34	$38.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $45.86 / $71.80	Professional		$28.08	$45.86	$71.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $10.54 / $14.60	Professional	26	$7.06	$10.54	$14.60
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $27.53 / $37.69	Professional	TC	$19.76	$27.53	$37.69
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $31.76 / $69.30	Professional		$27.05	$31.76	$69.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $8.66 / $18.97	Professional	26	$7.58	$8.66	$18.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.75 / $23.10 / $47.71	Professional	TC	$18.75	$23.10	$47.71