Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $380.19	Facility	26	$60.26	$60.26	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $199.53	Professional		$61.66	$85.11	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $177.83	Professional	26	$34.67	$44.67	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $39.81 / $75.86	Professional	TC	$22.91	$39.81	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $104.71	Professional		$28.84	$54.95	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $144.54	Professional		$64.57	$93.33	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $87.10	Professional	26	$43.65	$61.66	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $35.48 / $67.61	Professional	TC	$23.99	$35.48	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $154.88	Professional		$69.18	$91.20	$154.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $79.43	Professional	26	$43.65	$58.88	$79.43
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.36 / $58.88	Professional	TC	$23.44	$32.36	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $141.25	Professional		$74.13	$102.33	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $85.11	Professional	26	$45.71	$63.10	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $37.15 / $52.48	Professional	TC	$28.18	$37.15	$52.48