Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.78 / $22.78 / $22.78	Facility	26	$22.78	$22.78	$22.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $62.87 / $73.81	Professional		$56.32	$62.87	$73.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.91 / $27.91 / $33.04	Professional	26	$24.91	$27.91	$33.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $34.52 / $41.48	Professional	TC	$30.85	$34.52	$41.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.38 / $33.38 / $39.79	Professional	26	$33.38	$33.38	$39.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $43.73 / $72.23	Professional		$19.53	$43.73	$72.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.36 / $31.36 / $31.36	Facility	26	$31.36	$31.36	$31.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $88.41 / $110.43	Professional		$66.44	$88.41	$110.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.85 / $39.74 / $52.14	Professional	26	$29.85	$39.74	$52.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.08 / $43.85 / $56.80	Professional	TC	$34.08	$43.85	$56.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.09 / $87.52	Professional		$32.34	$39.09	$87.52
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $31.36 / $31.36 / $31.36	Facility	26	$31.36	$31.36	$31.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $95.46 / $161.97	Professional		$66.53	$95.46	$161.97
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $30.56 / $40.90 / $53.63	Professional	26	$30.56	$40.90	$53.63
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $34.08 / $43.85 / $56.80	Professional	TC	$34.08	$43.85	$56.80
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $85.17 / $117.53	Professional		$60.27	$85.17	$117.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.16 / $40.29 / $57.00	Professional	26	$29.16	$40.29	$57.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.34 / $44.88 / $60.53	Professional	TC	$32.34	$44.88	$60.53