Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.17 / $11.17 / $23.39	Facility	26	$11.17	$11.17	$23.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $61.76 / $232.80	Professional		$51.49	$61.76	$232.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $15.99 / $69.59	Professional	26	$14.36	$15.99	$69.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.36 / $43.09 / $88.45	Professional	TC	$34.36	$43.09	$88.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $60.27 / $60.27	Professional		$60.27	$60.27	$60.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $42.34 / $75.90	Professional		$10.86	$42.34	$75.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $67.70 / $96.84	Professional		$51.83	$67.70	$96.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $20.05 / $27.42	Professional	26	$13.23	$20.05	$27.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.00 / $50.95 / $67.56	Professional	TC	$38.00	$50.95	$67.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $32.34 / $72.55	Professional		$18.60	$32.34	$72.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $86.15 / $136.72	Professional		$53.16	$86.15	$136.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $20.51 / $29.28	Professional	26	$13.24	$20.51	$29.28
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $38.00 / $50.95 / $67.56	Professional	TC	$38.00	$50.95	$67.56
United Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $60.42 / $125.62	Professional		$56.96	$60.42	$125.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $17.43 / $36.34	Professional	26	$15.66	$17.43	$36.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.54 / $43.67 / $89.28	Professional	TC	$39.54	$43.67	$89.28