Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.30 / $6.30 / $13.33	Facility	26	$6.30	$6.30	$13.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $33.40 / $151.88	Professional		$24.05	$33.40	$151.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.30 / $8.69 / $19.07	Professional	26	$6.30	$8.69	$19.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $24.71 / $50.76	Professional	TC	$17.75	$24.71	$50.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $22.13 / $37.93	Professional		$6.02	$22.13	$37.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $38.97 / $57.19	Professional		$27.03	$38.97	$57.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $11.32 / $15.56	Professional	26	$7.35	$11.32	$15.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $29.14 / $41.27	Professional	TC	$19.94	$29.14	$41.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $32.34 / $37.92	Professional		$10.31	$32.34	$37.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.97 / $71.80	Professional		$29.51	$48.97	$71.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $11.32 / $15.22	Professional	26	$7.36	$11.32	$15.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.18 / $29.78 / $41.27	Professional	TC	$20.18	$29.78	$41.27
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $31.98 / $74.23	Professional		$29.57	$31.98	$74.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $9.02 / $19.76	Professional	26	$7.96	$9.02	$19.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $23.29 / $50.23	Professional	TC	$20.91	$23.29	$50.23