Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $8.61 / $18.11	Facility	26	$8.61	$8.61	$18.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $54.78 / $265.00	Professional		$39.75	$54.78	$265.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $11.86 / $28.52	Professional	26	$8.61	$11.86	$28.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.13 / $41.31 / $84.70	Professional	TC	$31.13	$41.31	$84.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $36.10 / $79.37	Professional		$10.74	$36.10	$79.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $60.47 / $88.64	Professional		$44.30	$60.47	$88.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $15.67 / $21.32	Professional	26	$10.02	$15.67	$21.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $46.14 / $65.76	Professional	TC	$34.54	$46.14	$65.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $32.34 / $61.85	Professional		$14.03	$32.34	$61.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $77.72 / $119.15	Professional		$46.28	$77.72	$119.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $15.67 / $20.70	Professional	26	$10.02	$15.67	$20.70
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $34.46 / $48.25 / $65.76	Professional	TC	$34.46	$48.25	$65.76
United Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $52.33 / $116.12	Professional		$46.53	$52.33	$116.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $12.63 / $28.35	Professional	26	$11.91	$12.63	$28.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.26 / $39.70 / $86.39	Professional	TC	$34.26	$39.70	$86.39