Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.41 / $18.41 / $18.41	Facility	26	$18.41	$18.41	$18.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $73.06 / $85.22	Professional		$55.32	$73.06	$85.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.41 / $22.86 / $26.56	Professional	26	$18.41	$22.86	$26.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.01 / $26.01 / $26.01	Professional	26	$26.01	$26.01	$26.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $44.75 / $98.45	Professional		$17.73	$44.75	$98.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $24.49 / $24.49	Facility	26	$24.49	$24.49	$24.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $100.86 / $130.13	Professional		$73.31	$100.86	$130.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.18 / $32.36 / $43.23	Professional	26	$23.18	$32.36	$43.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $63.94	Professional		$32.34	$32.34	$63.94
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $24.49 / $24.49	Facility	26	$24.49	$24.49	$24.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $113.43 / $182.40	Professional		$74.73	$113.43	$182.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $33.11 / $43.41	Professional	26	$23.82	$33.11	$43.41
United Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $110.15 / $152.00	Professional		$77.76	$110.15	$152.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.12 / $34.15 / $47.15	Professional	26	$24.12	$34.15	$47.15