Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $354.81	Professional		$51.29	$69.18	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.50 / $87.10	Professional	26	$15.85	$19.50	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $44.67 / $100.00	Professional	TC	$34.67	$44.67	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $60.26	Professional		$53.70	$56.23	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $41.69 / $79.43	Professional		$16.22	$41.69	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $123.03	Professional		$61.66	$83.18	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $38.02	Professional	26	$19.95	$26.92	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $56.23 / $89.13	Professional	TC	$41.69	$56.23	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $109.65	Professional		$61.66	$79.43	$109.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $25.12 / $33.88	Professional	26	$19.50	$25.12	$33.88
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $52.48 / $77.62	Professional	TC	$41.69	$52.48	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $144.54	Professional		$70.79	$89.13	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $42.66	Professional	26	$20.89	$28.18	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $61.66 / $100.00	Professional	TC	$47.86	$61.66	$100.00