Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.37 / $36.35 / $45.45	Facility	26	$21.37	$36.35	$45.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $117.48 / $599.00	Professional		$84.01	$117.48	$599.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.65 / $30.45 / $129.96	Professional	26	$23.65	$30.45	$129.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.42 / $79.67 / $145.38	Professional	TC	$56.42	$79.67	$145.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.13 / $33.13 / $33.13	Professional	26	$33.13	$33.13	$33.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $71.33 / $131.18	Professional		$20.23	$71.33	$131.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $130.13 / $179.36	Professional		$88.28	$130.13	$179.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $37.11 / $51.94	Professional	26	$24.66	$37.11	$51.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.21 / $95.18 / $127.42	Professional	TC	$63.21	$95.18	$127.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $123.88	Professional		$32.34	$32.34	$123.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $158.11 / $241.32	Professional		$91.81	$158.11	$241.32
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.47 / $39.89 / $51.94	Professional	26	$25.47	$39.89	$51.94
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $63.70 / $98.70 / $127.42	Professional	TC	$63.70	$98.70	$127.42
United Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $112.09 / $215.84	Professional		$103.43	$112.09	$215.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.88 / $35.43 / $67.15	Professional	26	$28.88	$35.43	$67.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.54 / $87.33 / $160.58	Professional	TC	$74.54	$87.33	$160.58