Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.79 / $9.83 / $12.29	Facility	26	$5.79	$9.83	$12.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $29.28 / $69.53	Professional		$21.31	$29.28	$69.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.49 / $8.00 / $34.54	Professional	26	$6.49	$8.00	$34.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.66 / $17.28 / $17.28	Professional	52	$10.66	$17.28	$17.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.52 / $21.27 / $46.40	Professional	TC	$15.52	$21.27	$46.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $27.57 / $27.57	Professional		$27.57	$27.57	$27.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $19.64 / $35.22	Professional		$5.55	$19.64	$35.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $35.19 / $51.76	Professional		$23.97	$35.19	$51.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $10.46 / $14.33	Professional	26	$6.77	$10.46	$14.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $24.77 / $37.09	Professional	TC	$17.61	$24.77	$37.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $32.34 / $33.29	Professional		$9.52	$32.34	$33.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $44.84 / $64.16	Professional		$26.59	$44.84	$64.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $10.49 / $14.04	Professional	26	$6.77	$10.49	$14.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $25.52 / $37.09	Professional	TC	$17.67	$25.52	$37.09
United Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $28.93 / $67.50	Professional		$25.97	$28.93	$67.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $8.30 / $18.18	Professional	26	$7.60	$8.30	$18.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $20.78 / $44.86	Professional	TC	$18.03	$20.78	$44.86