Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $31.68 / $360.00	Facility	26	$17.23	$31.68	$360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $67.81 / $227.00	Professional		$26.36	$67.81	$227.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $29.02 / $134.36	Professional	26	$17.23	$29.02	$134.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $32.61 / $89.34	Professional	TC	$9.18	$32.61	$89.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $63.22 / $63.22	Professional		$63.22	$63.22	$63.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $39.31 / $70.81	Professional		$23.43	$39.31	$70.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $48.44 / $84.80	Professional		$32.47	$48.44	$84.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.27 / $28.59 / $44.71	Professional	26	$20.27	$28.59	$44.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $16.01 / $42.30	Professional	TC	$9.69	$16.01	$42.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $36.39 / $70.80	Professional		$30.51	$36.39	$70.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $60.30 / $123.48	Professional		$33.95	$60.30	$123.48
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $20.73 / $29.35 / $44.71	Professional	26	$20.73	$29.35	$44.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $10.66 / $16.01 / $42.30	Professional	TC	$10.66	$16.01	$42.30
United Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $55.18 / $93.37	Professional		$32.10	$55.18	$93.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.28 / $24.90 / $50.37	Professional	26	$21.28	$24.90	$50.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $16.64 / $51.51	Professional	TC	$10.82	$16.64	$51.51