Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.02 / $18.02 / $26.26	Facility	26	$18.02	$18.02	$26.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $34.83 / $112.80	Professional		$30.68	$34.83	$112.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $22.82 / $53.60	Professional	26	$19.98	$22.82	$53.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.43 / $17.18 / $19.48	Professional	52	$13.43	$17.18	$19.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $11.64 / $15.16	Professional	TC	$10.11	$11.64	$15.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $32.33 / $33.34	Professional		$28.99	$32.33	$33.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $18.85 / $31.95	Professional	26	$18.76	$18.85	$31.95
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $12.34 / $12.34 / $12.34	Professional	52	$12.34	$12.34	$12.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $24.01 / $41.90	Professional		$15.70	$24.01	$41.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $48.36 / $60.73	Professional		$37.01	$48.36	$60.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $31.94 / $41.26	Professional	26	$24.04	$31.94	$41.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.73 / $15.41 / $19.17	Professional	TC	$11.73	$15.41	$19.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $32.34 / $33.72	Professional		$28.97	$32.34	$33.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $51.89 / $88.05	Professional		$37.01	$51.89	$88.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.09 / $31.94 / $41.56	Professional	26	$24.09	$31.94	$41.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $11.73 / $15.41 / $19.17	Professional	TC	$11.73	$15.41	$19.17
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $48.49 / $66.87	Professional		$34.97	$48.49	$66.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $33.15 / $45.50	Professional	26	$23.40	$33.15	$45.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.40 / $16.30 / $23.03	Professional	TC	$11.40	$16.30	$23.03