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 / $52.36	Facility	26	$24.71	$45.74	$52.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.35 / $541.00	Professional		$100.00	$128.35	$541.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.71 / $41.89 / $138.00	Professional	26	$24.71	$41.89	$138.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.52 / $94.28 / $430.43	Professional	TC	$60.52	$94.28	$430.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $74.81 / $102.05	Professional		$74.81	$74.81	$102.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.18 / $26.18 / $26.18	Professional	26	$26.18	$26.18	$26.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $72.23 / $122.90	Professional		$23.14	$72.23	$122.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $144.13 / $204.20	Professional		$94.70	$144.13	$204.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $43.22 / $59.84	Professional	26	$28.52	$43.22	$59.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.91 / $103.52 / $146.65	Professional	TC	$63.91	$103.52	$146.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.95 / $131.93	Professional		$32.34	$46.95	$131.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $183.35 / $256.16	Professional		$96.09	$183.35	$256.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $29.35 / $45.59 / $59.84	Professional	26	$29.35	$45.59	$59.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $63.91 / $103.52 / $146.65	Professional	TC	$63.91	$103.52	$146.65
United Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $125.48 / $217.46	Professional		$111.52	$125.48	$217.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.32 / $36.28 / $76.62	Professional	26	$34.32	$36.28	$76.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.51 / $89.20 / $150.52	Professional	TC	$76.51	$89.20	$150.52