Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.35 / $15.34 / $33.47	Facility	26	$8.35	$15.34	$33.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.98 / $32.97 / $512.78	Facility	TC	$18.98	$32.97	$512.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $36.15 / $144.00	Professional		$27.34	$36.15	$144.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $11.90 / $47.20	Professional	26	$10.31	$11.90	$47.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $24.46 / $57.75	Professional	TC	$18.98	$24.46	$57.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $36.04 / $36.04	Professional		$36.04	$36.04	$36.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.30 / $69.30 / $69.30	Professional	26	$69.30	$69.30	$69.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $25.16 / $43.91	Professional		$7.71	$25.16	$43.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $43.02 / $57.52	Professional		$30.97	$43.02	$57.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $14.39 / $20.66	Professional	26	$9.43	$14.39	$20.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $27.53 / $38.81	Professional	TC	$21.38	$27.53	$38.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $32.34 / $43.50	Professional		$13.60	$32.34	$43.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $51.19 / $82.49	Professional		$32.45	$51.19	$82.49
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $14.72 / $20.07	Professional	26	$9.44	$14.72	$20.07
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $27.53 / $36.49	Professional	TC	$21.38	$27.53	$36.49
United Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $36.45 / $74.26	Professional		$32.00	$36.45	$74.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $12.51 / $26.08	Professional	26	$11.23	$12.51	$26.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.85 / $24.54 / $48.18	Professional	TC	$21.85	$24.54	$48.18