Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $18.62 / $18.62	Facility	26	$18.62	$18.62	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $77.62	Professional		$33.88	$40.74	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.02 / $26.92	Professional	26	$10.00	$12.02	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $51.29	Professional	TC	$22.91	$28.84	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $30.20 / $47.86	Professional		$8.71	$30.20	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $79.43	Professional		$42.66	$57.54	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.38 / $22.91	Professional	26	$12.88	$17.38	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $39.81 / $52.48	Professional	TC	$28.84	$39.81	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $60.26	Professional		$26.30	$33.11	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $95.50	Professional		$42.66	$60.26	$95.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $16.98 / $22.91	Professional	26	$13.18	$16.98	$22.91
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $39.81 / $52.48	Professional	TC	$28.84	$39.81	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $81.28	Professional		$42.66	$61.66	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.20 / $25.70	Professional	26	$12.59	$18.20	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $43.65 / $57.54	Professional	TC	$30.20	$43.65	$57.54