Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $15.14 / $19.95	Facility	26	$13.49	$15.14	$19.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $41.69 / $66.07 / $316.23	Facility	TC	$41.69	$66.07	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $53.70 / $199.53	Professional		$21.38	$53.70	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $17.38 / $50.12	Professional	26	$7.94	$17.38	$50.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.74 / $85.11 / $275.42	Professional	50	$40.74	$85.11	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $100.00	Professional	TC	$25.70	$38.02	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $38.02	Professional		$26.30	$33.11	$38.02
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	50	$45.71	$45.71	$45.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $45.71 / $63.10	Professional	TC	$41.69	$45.71	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $32.36 / $53.70	Professional		$7.94	$32.36	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $79.43	Professional		$38.90	$52.48	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $22.39	Professional	26	$9.33	$14.13	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.02 / $58.88	Professional	TC	$28.84	$38.02	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $52.48	Professional		$19.50	$33.11	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $107.15	Professional		$38.90	$66.07	$107.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.14 / $22.39	Professional	26	$9.77	$15.14	$22.39
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $40.74 / $57.54	Professional	TC	$28.84	$40.74	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $81.28	Professional		$38.02	$44.67	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.02 / $22.39	Professional	26	$10.23	$12.02	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.11 / $61.66	Professional	TC	$27.54	$33.11	$61.66