Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.76 / $8.86 / $10.16	Facility	26	$4.76	$8.86	$10.16
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.76 / $29.13 / $235.02	Facility	TC	$16.76	$29.13	$235.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $29.94 / $121.00	Professional		$21.52	$29.94	$121.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $6.60 / $25.18	Professional	26	$5.53	$6.60	$25.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.10 / $23.80 / $63.88	Professional	TC	$18.10	$23.80	$63.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $28.16	Professional		$28.16	$28.16	$28.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $9.97 / $9.97	Professional	26	$9.97	$9.97	$9.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $20.03 / $34.96	Professional		$4.59	$20.03	$34.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $36.79 / $54.58	Professional		$24.49	$36.79	$54.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.58 / $8.30 / $11.76	Professional	26	$5.58	$8.30	$11.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.92 / $28.49 / $42.47	Professional	TC	$18.92	$28.49	$42.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $32.34 / $33.94	Professional		$7.87	$32.34	$33.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $46.61 / $64.92	Professional		$25.37	$46.61	$64.92
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $5.59 / $8.75 / $11.61	Professional	26	$5.59	$8.75	$11.61
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $18.92 / $28.49 / $42.47	Professional	TC	$18.92	$28.49	$42.47
United Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $29.56 / $66.68	Professional		$26.22	$29.56	$66.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.15 / $6.86 / $15.00	Professional	26	$6.15	$6.86	$15.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $23.10 / $48.59	Professional	TC	$20.14	$23.10	$48.59