Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.64 / $9.64 / $20.23	Facility	26	$9.64	$9.64	$20.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.72 / $21.72 / $43.13	Facility	TC	$21.72	$21.72	$43.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $38.24 / $50.69	Professional		$31.35	$38.24	$50.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $13.17 / $16.19	Professional	26	$9.64	$13.17	$16.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.72 / $25.05 / $34.50	Professional	TC	$21.72	$25.05	$34.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $29.04 / $52.05	Professional		$9.36	$29.04	$52.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $50.33 / $67.30	Professional		$35.45	$50.33	$67.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.41 / $24.47	Professional	26	$11.48	$17.41	$24.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.20 / $31.58 / $44.19	Professional	TC	$24.20	$31.58	$44.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $32.34 / $49.37	Professional		$16.04	$32.34	$49.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $59.08 / $94.71	Professional		$37.27	$59.08	$94.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $17.91 / $23.13	Professional	26	$11.50	$17.91	$23.13
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.20 / $31.58 / $41.87	Professional	TC	$24.20	$31.58	$41.87
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $41.86 / $86.91	Professional		$37.44	$41.86	$86.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.01 / $15.20 / $36.00	Professional	26	$14.01	$15.20	$36.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.08 / $27.79 / $55.31	Professional	TC	$25.08	$27.79	$55.31