Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.48 / $32.17 / $36.83	Facility	26	$17.48	$32.17	$36.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $82.34 / $340.90	Professional		$35.49	$82.34	$340.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $29.46 / $84.80	Professional	26	$17.48	$29.46	$84.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $56.82 / $121.33	Professional	TC	$19.44	$56.82	$121.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $36.10 / $36.10	Professional		$36.10	$36.10	$36.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $34.29 / $58.80	Professional		$16.63	$34.29	$58.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $107.09 / $165.51	Professional		$42.50	$107.09	$165.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $27.24 / $38.46	Professional	26	$18.71	$27.24	$38.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $85.69 / $132.43	Professional	TC	$21.06	$85.69	$132.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $32.34 / $61.45	Professional		$27.99	$32.34	$61.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.11 / $106.48 / $164.27	Professional		$46.11	$106.48	$164.27
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $27.24 / $35.69	Professional	26	$19.87	$27.24	$35.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $89.59 / $132.43	Professional	TC	$21.06	$89.59	$132.43
United Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $99.90 / $225.95	Professional		$49.44	$99.90	$225.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.71 / $25.26 / $49.26	Professional	26	$19.71	$25.26	$49.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $80.06 / $112.68	Professional	TC	$24.18	$80.06	$112.68