Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.56 / $6.56 / $13.86	Facility	26	$6.56	$6.56	$13.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $34.11 / $142.01	Professional		$24.06	$34.11	$142.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $9.05 / $19.25	Professional	26	$6.56	$9.05	$19.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $59.24 / $59.24	Professional	50	$59.24	$59.24	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.50 / $23.10 / $45.59	Professional	TC	$17.50	$23.10	$45.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $22.37 / $48.56	Professional		$7.05	$22.37	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.04 / $52.41	Professional		$26.92	$36.04	$52.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $10.90 / $15.32	Professional	26	$7.37	$10.90	$15.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $25.14 / $37.09	Professional	TC	$19.48	$25.14	$37.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $32.34 / $38.71	Professional		$10.74	$32.34	$38.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $45.96 / $71.80	Professional		$27.88	$45.96	$71.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $11.44 / $15.32	Professional	26	$7.37	$11.44	$15.32
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.34 / $27.08 / $37.09	Professional	TC	$19.34	$27.08	$37.09
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $31.40 / $69.52	Professional		$27.77	$31.40	$69.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $8.66 / $18.97	Professional	26	$8.34	$8.66	$18.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $22.74 / $48.61	Professional	TC	$19.11	$22.74	$48.61