Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.43 / $19.14 / $23.94	Facility	26	$11.43	$19.14	$23.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $51.72 / $186.00	Professional		$37.11	$51.72	$186.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.80 / $16.01 / $36.95	Professional	26	$12.80	$16.01	$36.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.68 / $35.71 / $65.13	Professional	TC	$25.68	$35.71	$65.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.56 / $13.56 / $13.56	Professional	26	$13.56	$13.56	$13.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $34.34 / $63.15	Professional		$10.88	$34.34	$63.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $60.66 / $87.88	Professional		$41.86	$60.66	$87.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $20.04 / $28.63	Professional	26	$13.24	$20.04	$28.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.82 / $42.04 / $59.19	Professional	TC	$28.82	$42.04	$59.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $32.34 / $58.84	Professional		$19.02	$32.34	$58.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $74.66 / $110.75	Professional		$46.66	$74.66	$110.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $20.07 / $27.36	Professional	26	$13.26	$20.07	$27.36
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $42.20 / $59.19	Professional	TC	$29.11	$42.20	$59.19
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $50.15 / $112.51	Professional		$47.97	$50.15	$112.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.17 / $16.23 / $35.54	Professional	26	$15.17	$16.23	$35.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.74 / $33.69 / $71.11	Professional	TC	$31.74	$33.69	$71.11