Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.07 / $35.56 / $40.71	Facility	26	$19.07	$35.56	$40.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $96.81 / $397.50	Professional		$82.81	$96.81	$397.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $26.11 / $56.88	Professional	26	$22.87	$26.11	$56.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $74.64 / $122.79	Professional	TC	$59.92	$74.64	$122.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.12 / $118.12 / $118.12	Professional		$118.12	$118.12	$118.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $74.23 / $143.19	Professional		$18.10	$74.23	$143.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $123.61 / $196.71	Professional		$93.48	$123.61	$196.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $34.01 / $47.12	Professional	26	$22.07	$34.01	$47.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.65 / $88.16 / $150.03	Professional	TC	$65.65	$88.16	$150.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $32.34 / $141.86	Professional		$31.02	$32.34	$141.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $159.28 / $298.64	Professional		$101.54	$159.28	$298.64
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.10 / $34.01 / $46.52	Professional	26	$22.10	$34.01	$46.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $62.14 / $87.71 / $146.96	Professional	TC	$62.14	$87.71	$146.96
United Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $131.37 / $256.18	Professional		$86.64	$131.37	$256.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.39 / $27.07 / $59.26	Professional	26	$25.39	$27.07	$59.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.02 / $104.30 / $232.88	Professional	TC	$61.02	$104.30	$232.88