Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $39.74 / $45.50	Facility	26	$21.38	$39.74	$45.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $97.87 / $447.89	Professional		$80.81	$97.87	$447.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $28.84 / $98.76	Professional	26	$19.89	$28.84	$98.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.44 / $69.95 / $131.97	Professional	TC	$53.44	$69.95	$131.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.73 / $57.73 / $57.73	Professional	26	$57.73	$57.73	$57.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $66.40 / $119.53	Professional		$20.27	$66.40	$119.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $112.95 / $165.22	Professional		$83.42	$112.95	$165.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $31.94 / $46.76	Professional	26	$24.10	$31.94	$46.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.40 / $83.29 / $123.11	Professional	TC	$58.40	$83.29	$123.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.11 / $112.72	Professional		$32.34	$35.11	$112.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $144.87 / $226.08	Professional		$86.40	$144.87	$226.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $31.94 / $42.11	Professional	26	$24.10	$31.94	$42.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $58.40 / $86.82 / $123.11	Professional	TC	$58.40	$86.82	$123.11
United Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $97.80 / $192.40	Professional		$84.23	$97.80	$192.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.46 / $30.68 / $59.83	Professional	26	$22.46	$30.68	$59.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.88 / $67.61 / $149.78	Professional	TC	$59.88	$67.61	$149.78