Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.92 / $42.51 / $48.66	Facility	26	$22.92	$42.51	$48.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $125.23 / $585.14	Professional		$83.68	$125.23	$585.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $38.93 / $164.00	Professional	26	$27.82	$38.93	$164.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.32 / $88.18 / $130.90	Professional	TC	$58.32	$88.18	$130.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $74.98 / $97.14	Professional		$74.98	$74.98	$97.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.57 / $42.57 / $161.69	Professional	26	$42.57	$42.57	$161.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $61.27 / $114.85	Professional		$21.47	$61.27	$114.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $143.30 / $203.01	Professional		$89.59	$143.30	$203.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.71 / $40.15 / $55.61	Professional	26	$26.71	$40.15	$55.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.85 / $104.80 / $148.84	Professional	TC	$60.85	$104.80	$148.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $43.63 / $126.06	Professional		$32.34	$43.63	$126.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $168.98 / $235.25	Professional		$92.13	$168.98	$235.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $27.27 / $42.31 / $55.61	Professional	26	$27.27	$42.31	$55.61
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $60.85 / $105.06 / $148.84	Professional	TC	$60.85	$105.06	$148.84
United Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $123.82 / $208.32	Professional		$106.83	$123.82	$208.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $33.02 / $63.90	Professional	26	$32.13	$33.02	$63.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.23 / $90.05 / $144.97	Professional	TC	$70.23	$90.05	$144.97