Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $13.06 / $14.95	Facility	26	$7.08	$13.06	$14.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $86.79 / $167.00	Professional		$29.49	$86.79	$167.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $9.92 / $23.76	Professional	26	$9.16	$9.92	$23.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $77.39 / $94.21	Professional	TC	$20.23	$77.39	$94.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $38.24 / $38.24	Professional		$38.24	$38.24	$38.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $8.26 / $8.26	Professional	26	$8.26	$8.26	$8.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $26.65 / $55.66	Professional		$6.76	$26.65	$55.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $107.26 / $152.08	Professional		$34.46	$107.26	$152.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $13.59 / $19.72	Professional	26	$8.50	$13.59	$19.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.08 / $94.90 / $134.16	Professional	TC	$26.08	$94.90	$134.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $32.34 / $46.05	Professional		$11.57	$32.34	$46.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $93.27 / $152.08	Professional		$48.16	$93.27	$152.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $13.75 / $18.27	Professional	26	$8.60	$13.75	$18.27
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.22 / $94.90 / $134.16	Professional	TC	$26.22	$94.90	$134.16
United Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $64.13 / $115.37	Professional		$29.24	$64.13	$115.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $7.94 / $22.92	Professional	26	$7.37	$7.94	$22.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $48.13 / $84.97	Professional	TC	$21.86	$48.13	$84.97