Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.15 / $10.15 / $21.28	Facility	26	$10.15	$10.15	$21.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $49.32 / $233.00	Professional		$36.08	$49.32	$233.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $13.95 / $33.54	Professional	26	$10.15	$13.95	$33.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.93 / $34.72 / $64.50	Professional	TC	$25.93	$34.72	$64.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $32.85 / $60.41	Professional		$12.01	$32.85	$60.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $55.55 / $79.90	Professional		$40.18	$55.55	$79.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $17.85 / $25.13	Professional	26	$11.78	$17.85	$25.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.82 / $40.59 / $54.41	Professional	TC	$28.82	$40.59	$54.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $32.34 / $55.90	Professional		$16.47	$32.34	$55.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $69.62 / $107.70	Professional		$42.73	$69.62	$107.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $17.85 / $24.31	Professional	26	$11.79	$17.85	$24.31
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.59 / $40.59 / $54.41	Professional	TC	$28.59	$40.59	$54.41
United Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $47.28 / $104.28	Professional		$43.64	$47.28	$104.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $14.44 / $31.60	Professional	26	$13.32	$14.44	$31.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.57 / $32.84 / $70.20	Professional	TC	$29.57	$32.84	$70.20