Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.67 / $11.67 / $11.67	Facility	26	$11.67	$11.67	$11.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $39.40 / $101.28	Professional		$35.47	$39.40	$101.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.92 / $14.46 / $16.94	Professional	26	$12.92	$14.46	$16.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $25.10 / $30.46	Professional	TC	$21.90	$25.10	$30.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.39 / $17.30 / $20.63	Professional	26	$13.39	$17.30	$20.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $26.90 / $45.05	Professional		$10.11	$26.90	$45.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $54.73 / $68.90	Professional		$41.61	$54.73	$68.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $20.60 / $26.70	Professional	26	$15.47	$20.60	$26.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $33.84 / $42.99	Professional	TC	$25.42	$33.84	$42.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $32.34 / $53.84	Professional		$20.26	$32.34	$53.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $59.49 / $99.18	Professional		$42.36	$59.49	$99.18
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $15.84 / $20.92 / $27.44	Professional	26	$15.84	$20.92	$27.44
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $34.13 / $43.06	Professional	TC	$25.42	$34.13	$43.06
United Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $54.53 / $77.41	Professional		$39.70	$54.53	$77.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.64 / $20.88 / $29.56	Professional	26	$14.64	$20.88	$29.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $34.09 / $47.85	Professional	TC	$24.97	$34.09	$47.85