Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.65 / $19.48 / $22.30	Facility	26	$10.65	$19.48	$22.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.15 / $50.47 / $57.78	Facility	TC	$29.15	$50.47	$57.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $51.88 / $124.93	Professional		$44.27	$51.88	$124.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $14.65 / $33.97	Professional	26	$11.92	$14.65	$33.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $35.79 / $82.09	Professional	TC	$30.85	$35.79	$82.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $52.53 / $52.53	Professional		$52.53	$52.53	$52.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $36.88 / $77.02	Professional		$12.60	$36.88	$77.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $58.18 / $83.59	Professional		$44.71	$58.18	$83.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $18.76 / $25.61	Professional	26	$12.37	$18.76	$25.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.67 / $42.39 / $56.21	Professional	TC	$32.67	$42.39	$56.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $32.34 / $63.19	Professional		$17.26	$32.34	$63.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $75.04 / $119.15	Professional		$46.74	$75.04	$119.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $19.14 / $27.38	Professional	26	$12.39	$19.14	$27.38
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $32.67 / $42.39 / $56.21	Professional	TC	$32.67	$42.39	$56.21
United Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $52.69 / $108.23	Professional		$46.63	$52.69	$108.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.64 / $16.30 / $33.97	Professional	26	$14.64	$16.30	$33.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.90 / $37.53 / $74.26	Professional	TC	$32.90	$37.53	$74.26