Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.98 / $33.02 / $37.79	Facility	26	$17.98	$33.02	$37.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $50.29 / $223.00	Professional		$36.46	$50.29	$223.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $30.23 / $130.00	Professional	26	$19.91	$30.23	$130.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.50 / $24.98 / $60.62	Professional	TC	$16.50	$24.98	$60.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $31.97 / $31.97	Professional		$31.97	$31.97	$31.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $18.20 / $18.20	Professional	TC	$18.20	$18.20	$18.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $34.19 / $102.51	Professional		$16.79	$34.19	$102.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $63.31 / $80.50	Professional		$38.52	$63.31	$80.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.83 / $31.20 / $43.20	Professional	26	$20.83	$31.20	$43.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $28.98 / $36.15	Professional	TC	$17.69	$28.98	$36.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.45 / $107.31	Professional		$32.34	$33.45	$107.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $70.59 / $103.88	Professional		$40.43	$70.59	$103.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $20.83 / $32.86 / $43.20	Professional	26	$20.83	$32.86	$43.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $28.98 / $35.89	Professional	TC	$17.94	$28.98	$35.89
United Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $58.80 / $94.81	Professional		$46.89	$58.80	$94.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $26.56 / $51.82	Professional	26	$24.50	$26.56	$51.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $29.93 / $47.45	Professional	TC	$22.02	$29.93	$47.45