Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.73 / $27.88 / $27.88	Facility	26	$14.73	$27.88	$27.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $41.57 / $84.48	Professional		$37.79	$41.57	$84.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.73 / $23.48 / $42.45	Professional	26	$14.73	$23.48	$42.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $26.72 / $55.69	Professional	TC	$16.44	$26.72	$55.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $32.97 / $74.17	Professional		$16.38	$32.97	$74.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $55.33 / $87.57	Professional		$36.88	$55.33	$87.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $28.99 / $40.79	Professional	26	$19.07	$28.99	$40.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.74 / $48.86	Professional	TC	$16.32	$23.74	$48.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $32.34 / $67.04	Professional		$24.99	$32.34	$67.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $58.20 / $118.79	Professional		$42.33	$58.20	$118.79
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $27.56 / $40.04	Professional	26	$19.07	$27.56	$40.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.09 / $42.75	Professional	TC	$16.32	$23.09	$42.75
United Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $59.81 / $82.15	Professional		$44.48	$59.81	$82.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.80 / $31.97 / $42.84	Professional	26	$23.80	$31.97	$42.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $27.39 / $42.29	Professional	TC	$21.14	$27.39	$42.29