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 $28.52 / $36.63 / $69.62	Professional		$28.52	$36.63	$69.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $9.05 / $19.76	Professional	26	$6.56	$9.05	$19.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.35 / $56.30	Professional	TC	$21.94	$27.35	$56.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $26.61 / $45.61	Professional		$6.26	$26.61	$45.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $41.51 / $62.62	Professional		$31.76	$41.51	$62.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $11.76 / $15.85	Professional	26	$7.65	$11.76	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.25 / $31.03 / $46.05	Professional	TC	$23.25	$31.03	$46.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $32.34 / $45.21	Professional		$10.74	$32.34	$45.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $54.14 / $85.55	Professional		$32.79	$54.14	$85.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $11.80 / $15.85	Professional	26	$7.65	$11.80	$15.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.88 / $32.03 / $46.05	Professional	TC	$22.88	$32.03	$46.05
United Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $37.17 / $82.80	Professional		$29.94	$37.17	$82.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $9.38 / $20.55	Professional	26	$8.72	$9.38	$20.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $27.79 / $59.40	Professional	TC	$20.92	$27.79	$59.40