Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $8.51 / $10.65	Facility	26	$5.01	$8.51	$10.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.71 / $45.08 / $426.05	Facility	TC	$22.71	$45.08	$426.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $39.56 / $159.00	Professional		$27.79	$39.56	$159.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $8.51 / $32.00	Professional	26	$5.83	$8.51	$32.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.86 / $22.29 / $22.29	Professional	52	$13.86	$22.29	$22.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $27.65 / $67.31	Professional	TC	$22.57	$27.65	$67.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $21.81 / $45.46	Professional		$4.80	$21.81	$45.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $39.95 / $59.96	Professional		$29.07	$39.95	$59.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $8.72 / $12.36	Professional	26	$5.87	$8.72	$12.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.43 / $32.11 / $47.25	Professional	TC	$22.43	$32.11	$47.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $32.34 / $45.62	Professional		$8.26	$32.34	$45.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $52.57 / $83.25	Professional		$31.06	$52.57	$83.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $8.78 / $12.17	Professional	26	$5.88	$8.78	$12.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.43 / $32.93 / $47.25	Professional	TC	$22.43	$32.93	$47.25
United Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $36.09 / $79.20	Professional		$27.34	$36.09	$79.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $7.22 / $15.79	Professional	26	$6.65	$7.22	$15.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.90 / $28.87 / $56.80	Professional	TC	$20.90	$28.87	$56.80