Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $19.50 / $24.55	Facility	26	$17.38	$19.50	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $112.20	Professional		$28.84	$42.66	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $45.71	Professional	26	$10.00	$14.13	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.84 / $67.61	Professional	TC	$19.05	$28.84	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $30.20 / $50.12	Professional		$12.59	$30.20	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $75.86	Professional		$37.15	$51.29	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.98 / $25.12	Professional	26	$11.75	$16.98	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $34.67 / $50.12	Professional	TC	$24.55	$34.67	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $50.12	Professional		$24.55	$33.11	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $97.72	Professional		$38.90	$63.10	$97.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.20 / $24.55	Professional	26	$12.02	$18.20	$24.55
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $37.15 / $50.12	Professional	TC	$26.30	$37.15	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $85.11	Professional		$40.74	$43.65	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.14 / $29.51	Professional	26	$12.88	$15.14	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $29.51 / $54.95	Professional	TC	$26.92	$29.51	$54.95