Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.60 / $41.34 / $47.33	Facility	26	$22.60	$41.34	$47.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $103.70 / $449.15	Professional		$55.31	$103.70	$449.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $37.85 / $159.00	Professional	26	$24.78	$37.85	$159.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.97 / $78.92 / $107.35	Professional	TC	$20.97	$78.92	$107.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $53.02 / $53.02	Professional		$53.02	$53.02	$53.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $49.35 / $102.94	Professional		$30.81	$49.35	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $126.87 / $192.87	Professional		$56.08	$126.87	$192.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.05 / $39.97 / $56.83	Professional	26	$27.05	$39.97	$56.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.73 / $94.03 / $143.04	Professional	TC	$13.73	$94.03	$143.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.97 / $107.76	Professional		$32.34	$50.97	$107.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $132.38 / $192.87	Professional		$64.41	$132.38	$192.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $27.48 / $39.97 / $56.83	Professional	26	$27.48	$39.97	$56.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.09 / $94.03 / $143.04	Professional	TC	$15.09	$94.03	$143.04
United Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $122.27 / $205.99	Professional		$79.04	$122.27	$205.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.30 / $35.43 / $76.59	Professional	26	$30.30	$35.43	$76.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.92 / $91.61 / $139.69	Professional	TC	$46.92	$91.61	$139.69