Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.31 / $8.31 / $12.11	Facility	26	$8.31	$8.31	$12.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $47.24 / $260.00	Professional		$35.57	$47.24	$260.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $12.12 / $51.00	Professional	26	$9.27	$12.12	$51.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.22 / $32.03 / $54.42	Professional	TC	$26.22	$32.03	$54.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $32.02 / $32.02	Professional		$32.02	$32.02	$32.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $12.36 / $14.74	Professional	26	$8.66	$12.36	$14.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $26.70 / $51.01	Professional		$7.25	$26.70	$51.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $11.60	Facility	26	$11.60	$11.60	$11.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $69.87 / $107.72	Professional		$43.87	$69.87	$107.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $17.46 / $23.58	Professional	26	$11.72	$17.46	$23.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.92 / $52.55 / $76.55	Professional	TC	$32.92	$52.55	$76.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $32.34 / $56.10	Professional		$14.50	$32.34	$56.10
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $11.60	Facility	26	$11.60	$11.60	$11.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $78.81 / $108.46	Professional		$45.94	$78.81	$108.46
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $17.48 / $23.81	Professional	26	$11.72	$17.48	$23.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $32.92 / $52.55 / $81.02	Professional	TC	$32.92	$52.55	$81.02
United Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $82.66 / $117.52	Professional		$55.04	$82.66	$117.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $19.20 / $26.03	Professional	26	$13.32	$19.20	$26.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.19 / $64.34 / $91.49	Professional	TC	$43.19	$64.34	$91.49