Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.84 / $7.84 / $16.54	Facility	26	$7.84	$7.84	$16.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $42.39 / $207.00	Professional		$30.80	$42.39	$207.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $10.45 / $15.88	Professional	26	$7.84	$10.45	$15.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.96 / $29.94 / $57.56	Professional	TC	$22.96	$29.94	$57.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $28.26 / $50.65	Professional		$7.47	$28.26	$50.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $47.04 / $68.22	Professional		$34.57	$47.04	$68.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $13.95 / $19.43	Professional	26	$9.13	$13.95	$19.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.46 / $35.64 / $47.84	Professional	TC	$25.46	$35.64	$47.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $32.34 / $48.04	Professional		$12.79	$32.34	$48.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $59.59 / $92.42	Professional		$36.18	$59.59	$92.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $13.97 / $18.89	Professional	26	$9.14	$13.97	$18.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $35.64 / $47.84	Professional	TC	$25.14	$35.64	$47.84
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.42 / $89.28	Professional		$37.15	$40.42	$89.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $11.55 / $25.29	Professional	26	$10.27	$11.55	$25.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $28.87 / $62.08	Professional	TC	$25.97	$28.87	$62.08