Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.18 / $7.18 / $10.51	Facility	26	$7.18	$7.18	$10.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $58.43 / $95.42	Professional		$52.20	$58.43	$95.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $9.15 / $42.16	Professional	26	$7.46	$9.15	$42.16
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.46 / $29.22 / $32.44	Professional	52	$23.46	$29.22	$32.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.95 / $49.36 / $59.08	Professional	TC	$42.95	$49.36	$59.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $51.39 / $77.70	Professional		$45.62	$51.39	$77.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $9.11 / $12.79	Professional	26	$7.51	$9.11	$12.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $38.44 / $62.46	Professional		$6.29	$38.44	$62.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.06 / $10.06 / $10.06	Facility	26	$10.06	$10.06	$10.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $77.87 / $95.81	Professional		$58.53	$77.87	$95.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $12.34 / $15.74	Professional	26	$9.27	$12.34	$15.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.08 / $65.42 / $81.14	Professional	TC	$49.08	$65.42	$81.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $32.34 / $77.22	Professional		$12.58	$32.34	$77.22
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.06 / $10.06 / $10.06	Facility	26	$10.06	$10.06	$10.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $83.15 / $150.41	Professional		$58.95	$83.15	$150.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $12.34 / $15.74	Professional	26	$9.27	$12.34	$15.74
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $49.25 / $65.42 / $82.21	Professional	TC	$49.25	$65.42	$82.21
United Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $81.64 / $113.05	Professional		$57.24	$81.64	$113.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $13.00 / $18.29	Professional	26	$9.09	$13.00	$18.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.94 / $67.83 / $92.16	Professional	TC	$47.94	$67.83	$92.16