Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.79 / $5.79 / $12.29	Facility	26	$5.79	$5.79	$12.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $25.15 / $56.30	Professional		$18.09	$25.15	$56.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.79 / $8.00 / $17.70	Professional	26	$5.79	$8.00	$17.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $17.57 / $37.29	Professional	TC	$12.30	$17.57	$37.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $16.76 / $36.84	Professional		$5.55	$16.76	$36.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $30.14 / $43.34	Professional		$20.73	$30.14	$43.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $10.02 / $14.02	Professional	26	$6.77	$10.02	$14.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.15 / $20.28 / $29.32	Professional	TC	$14.15	$20.28	$29.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $28.72 / $32.34	Professional		$9.52	$28.72	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $37.10 / $54.99	Professional		$23.19	$37.10	$54.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $10.14 / $14.02	Professional	26	$6.77	$10.14	$14.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $14.15 / $21.42 / $29.32	Professional	TC	$14.15	$21.42	$29.32
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $24.54 / $55.80	Professional		$23.44	$24.54	$55.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $8.30 / $17.39	Professional	26	$7.44	$8.30	$17.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.51 / $16.67 / $35.99	Professional	TC	$15.51	$16.67	$35.99