Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.04 / $6.04 / $12.78	Facility	26	$6.04	$6.04	$12.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.52 / $15.52 / $30.91	Facility	TC	$15.52	$15.52	$30.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $28.44 / $71.43	Professional		$21.56	$28.44	$71.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $8.35 / $19.43	Professional	26	$6.04	$8.35	$19.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.52 / $20.46 / $40.54	Professional	TC	$15.52	$20.46	$40.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $28.86 / $28.86	Professional		$28.86	$28.86	$28.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $20.10 / $34.46	Professional		$5.77	$20.10	$34.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $35.64 / $47.58	Professional		$25.17	$35.64	$47.58
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 $17.72 / $24.38 / $32.31	Professional	TC	$17.72	$24.38	$32.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $32.34 / $34.83	Professional		$9.89	$32.34	$34.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $41.72 / $65.69	Professional		$26.28	$41.72	$65.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $10.71 / $15.27	Professional	26	$7.06	$10.71	$15.27
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $24.38 / $32.31	Professional	TC	$17.67	$24.38	$32.31
United Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $29.64 / $69.92	Professional		$27.94	$29.64	$69.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.10 / $18.97	Professional	26	$8.17	$9.10	$18.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.34 / $20.93 / $42.65	Professional	TC	$19.34	$20.93	$42.65