Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $18.20 / $21.88	Facility	26	$14.13	$18.20	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $204.17	Professional		$45.71	$63.10	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.14 / $57.54	Professional	26	$10.00	$15.14	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $43.65 / $89.13	Professional	TC	$34.67	$43.65	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $60.26	Professional		$47.86	$51.29	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.72 / $15.49	Professional	26	$8.71	$10.72	$15.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $38.02 / $56.23	Professional		$8.51	$38.02	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.88 / $13.49 / $19.05	Facility	26	$2.88	$13.49	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $102.33	Professional		$56.23	$74.13	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $17.38 / $22.91	Professional	26	$12.59	$17.38	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $56.23 / $79.43	Professional	TC	$43.65	$56.23	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $75.86	Professional		$25.12	$33.11	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $123.03	Professional		$57.54	$77.62	$123.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.98 / $22.91	Professional	26	$12.88	$16.98	$22.91
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $56.23 / $77.62	Professional	TC	$43.65	$56.23	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $107.15	Professional		$54.95	$79.43	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.20 / $25.12	Professional	26	$12.30	$18.20	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $61.66 / $83.18	Professional	TC	$42.66	$61.66	$83.18