Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.80 / $29.80 / $29.80	Facility	26	$29.80	$29.80	$29.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $73.09 / $129.71	Professional		$60.32	$73.09	$129.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $48.84 / $85.99	Professional	26	$29.80	$48.84	$85.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $30.52 / $63.57	Professional	TC	$22.57	$30.52	$63.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $66.12 / $66.12	Professional		$66.12	$66.12	$66.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $49.86 / $85.48	Professional		$33.47	$49.86	$85.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $93.07 / $133.08	Professional		$66.48	$93.07	$133.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $58.71 / $85.41	Professional	26	$39.22	$58.71	$85.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $31.48 / $57.01	Professional	TC	$22.34	$31.48	$57.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.74 / $99.79	Professional		$32.34	$48.74	$99.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $99.51 / $182.08	Professional		$68.53	$99.51	$182.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $57.38 / $84.65	Professional	26	$39.22	$57.38	$84.65
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $31.47 / $49.55	Professional	TC	$22.34	$31.47	$49.55
United Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $95.37 / $132.47	Professional		$74.23	$95.37	$132.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.80 / $61.71 / $83.50	Professional	26	$42.80	$61.71	$83.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.72 / $35.35 / $56.30	Professional	TC	$27.72	$35.35	$56.30