Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.71 / $45.74 / $109.65	Facility	26	$24.71	$45.74	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $144.76 / $478.33	Professional		$99.38	$144.76	$478.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $41.89 / $142.00	Professional	26	$29.75	$41.89	$142.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $44.90 / $72.38 / $357.53	Professional	52	$44.90	$72.38	$357.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.59 / $102.87 / $219.00	Professional	TC	$83.59	$102.87	$219.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $83.96 / $114.57	Professional		$83.96	$83.96	$114.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.83 / $28.83 / $28.83	Professional	26	$28.83	$28.83	$28.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $59.59 / $59.59 / $59.59	Professional	TC	$59.59	$59.59	$59.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $81.65 / $139.97	Professional		$23.37	$81.65	$139.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $150.55 / $206.80	Professional		$101.78	$150.55	$206.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.81 / $43.22 / $59.84	Professional	26	$28.81	$43.22	$59.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.26 / $109.10 / $147.19	Professional	TC	$72.26	$109.10	$147.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.40 / $149.27	Professional		$32.34	$47.40	$149.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $192.40 / $278.33	Professional		$104.79	$192.40	$278.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $29.62 / $46.02 / $59.84	Professional	26	$29.62	$46.02	$59.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $72.26 / $112.57 / $147.19	Professional	TC	$72.26	$112.57	$147.19
United Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $125.23 / $244.20	Professional		$119.10	$125.23	$244.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.32 / $36.28 / $69.59	Professional	26	$34.32	$36.28	$69.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.76 / $89.86 / $161.87	Professional	TC	$84.76	$89.86	$161.87