Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $14.13 / $16.98	Facility	26	$10.47	$14.13	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $186.21	Professional		$50.12	$64.57	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $39.81	Professional	26	$7.94	$9.33	$39.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	52	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $50.12 / $95.50	Professional	TC	$38.90	$50.12	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $60.26	Professional		$51.29	$51.29	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.32 / $11.48	Professional	26	$6.46	$8.32	$11.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $38.02 / $56.23	Professional		$6.31	$38.02	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $100.00	Professional		$57.54	$75.86	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $16.22	Professional	26	$8.91	$12.02	$16.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $64.57 / $83.18	Professional	TC	$47.86	$64.57	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $77.62	Professional		$19.05	$33.11	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $125.89	Professional		$58.88	$77.62	$125.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.75 / $16.22	Professional	26	$9.33	$11.75	$16.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $61.66 / $83.18	Professional	TC	$48.98	$61.66	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $112.20	Professional		$57.54	$79.43	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.88 / $18.20	Professional	26	$9.12	$12.88	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $67.61 / $93.33	Professional	TC	$47.86	$67.61	$93.33