Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.89 / $9.89 / $20.73	Facility	26	$9.89	$9.89	$20.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $50.07 / $109.49	Professional		$43.75	$50.07	$109.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $13.59 / $45.60	Professional	26	$9.89	$13.59	$45.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $37.92 / $89.08	Professional	TC	$33.86	$37.92	$89.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $12.73 / $12.73	Professional	26	$12.73	$12.73	$12.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $40.85 / $73.23	Professional		$9.36	$40.85	$73.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $66.15 / $88.26	Professional		$49.60	$66.15	$88.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.88 / $24.37	Professional	26	$11.48	$17.88	$24.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.06 / $46.90 / $64.06	Professional	TC	$37.06	$46.90	$64.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $32.34 / $68.12	Professional		$16.54	$32.34	$68.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $81.47 / $130.61	Professional		$51.97	$81.47	$130.61
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $18.29 / $26.08	Professional	26	$11.50	$18.29	$26.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $37.06 / $46.90 / $64.06	Professional	TC	$37.06	$46.90	$64.06
United Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $56.66 / $114.54	Professional		$51.94	$56.66	$114.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $14.79 / $31.58	Professional	26	$13.96	$14.79	$31.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.39 / $42.59 / $83.05	Professional	TC	$35.39	$42.59	$83.05