Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.64 / $58.66 / $58.66	Facility	26	$30.64	$58.66	$58.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $79.54 / $286.00	Professional		$61.28	$79.54	$286.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $43.03 / $93.85	Professional	26	$32.97	$43.03	$93.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $35.67 / $74.25	Professional	TC	$22.57	$35.67	$74.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.58 / $35.58 / $35.58	Professional	26	$35.58	$35.58	$35.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $52.88 / $95.00	Professional		$25.93	$52.88	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $90.34 / $141.44	Professional		$60.41	$90.34	$141.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.58 / $54.38 / $78.27	Professional	26	$39.58	$54.38	$78.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $32.49 / $65.59	Professional	TC	$22.34	$32.49	$65.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.90 / $108.67	Professional		$32.34	$51.90	$108.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $95.02 / $197.66	Professional		$69.09	$95.02	$197.66
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $39.58 / $52.77 / $72.48	Professional	26	$39.58	$52.77	$72.48
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $31.48 / $57.71	Professional	TC	$22.34	$31.48	$57.71
United Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $99.47 / $132.72	Professional		$80.52	$99.47	$132.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.00 / $59.40 / $78.11	Professional	26	$44.00	$59.40	$78.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.35 / $37.81 / $56.82	Professional	TC	$28.35	$37.81	$56.82