Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.62 / $6.62 / $6.62	Facility	26	$6.62	$6.62	$6.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $30.10 / $147.00	Professional		$24.70	$30.10	$147.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $47.07 / $47.07 / $47.07	Professional	25	$47.07	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.72 / $33.00	Professional	26	$7.59	$8.72	$33.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $20.41 / $33.89	Professional	TC	$16.96	$20.41	$33.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.25 / $38.33	Professional		$18.00	$24.25	$38.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.39 / $11.78	Professional	26	$6.92	$8.39	$11.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $18.78 / $30.79	Professional		$5.80	$18.78	$30.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $44.10 / $58.83	Professional		$30.24	$44.10	$58.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $11.79 / $15.24	Professional	26	$8.99	$11.79	$15.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.98 / $31.46 / $44.77	Professional	TC	$20.98	$31.46	$44.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $32.34 / $39.00	Professional		$11.60	$32.34	$39.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $49.07 / $70.98	Professional		$31.32	$49.07	$70.98
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $12.13 / $15.32	Professional	26	$9.03	$12.13	$15.32
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.98 / $30.97 / $47.09	Professional	TC	$20.98	$30.97	$47.09
United Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $49.82 / $70.38	Professional		$36.00	$49.82	$70.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $11.77 / $16.89	Professional	26	$8.64	$11.77	$16.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $37.40 / $53.49	Professional	TC	$25.24	$37.40	$53.49