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 $34.67 / $44.67 / $123.03	Professional		$34.67	$44.67	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.30 / $38.02	Professional	26	$10.00	$12.30	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $32.36 / $66.07	Professional	TC	$25.12	$32.36	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $47.86	Professional		$38.02	$41.69	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.75 / $15.49	Professional	26	$10.23	$11.75	$15.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $30.90 / $45.71	Professional		$8.51	$30.90	$45.71
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 $44.67 / $58.88 / $81.28	Professional		$44.67	$58.88	$81.28
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 $31.62 / $42.66 / $57.54	Professional	TC	$31.62	$42.66	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $61.66	Professional		$25.12	$33.11	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $97.72	Professional		$46.77	$61.66	$97.72
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 $31.62 / $40.74 / $57.54	Professional	TC	$31.62	$40.74	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $87.10	Professional		$44.67	$63.10	$87.10
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 $31.62 / $44.67 / $63.10	Professional	TC	$31.62	$44.67	$63.10