Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.17 / $11.17 / $23.39	Facility	26	$11.17	$11.17	$23.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.20 / $23.20 / $46.05	Facility	TC	$23.20	$23.20	$46.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $40.96 / $80.95	Professional		$34.38	$40.96	$80.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $15.17 / $22.75	Professional	26	$11.17	$15.17	$22.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.20 / $25.78 / $36.84	Professional	TC	$23.20	$25.78	$36.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $31.36 / $78.76	Professional		$13.57	$31.36	$78.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $54.04 / $72.29	Professional		$38.60	$54.04	$72.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $20.01 / $27.67	Professional	26	$12.68	$20.01	$27.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $32.47 / $45.75	Professional	TC	$25.14	$32.47	$45.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $32.34 / $53.73	Professional		$18.11	$32.34	$53.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $63.80 / $101.59	Professional		$40.52	$63.80	$101.59
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $20.62 / $26.73	Professional	26	$12.68	$20.62	$26.73
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $32.47 / $43.06	Professional	TC	$25.14	$32.47	$43.06
United Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $45.47 / $93.23	Professional		$42.27	$45.47	$93.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $17.43 / $36.34	Professional	26	$16.10	$17.43	$36.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $28.87 / $56.89	Professional	TC	$24.50	$28.87	$56.89