Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $7.58 / $15.99	Facility	26	$7.58	$7.58	$15.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $36.67 / $138.02	Professional		$27.90	$36.67	$138.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $10.75 / $24.89	Professional	26	$8.19	$10.75	$24.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $25.92 / $46.22	Professional	TC	$18.25	$25.92	$46.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $23.78 / $49.66	Professional		$7.22	$23.78	$49.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $46.30 / $67.13	Professional		$29.13	$46.30	$67.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $14.70 / $20.00	Professional	26	$9.11	$14.70	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $31.00 / $45.45	Professional	TC	$20.50	$31.00	$45.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $32.34 / $40.74	Professional		$12.38	$32.34	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $56.98 / $77.14	Professional		$33.56	$56.98	$77.14
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $14.70 / $20.00	Professional	26	$9.41	$14.70	$20.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $31.68 / $45.45	Professional	TC	$20.73	$31.68	$45.45
United Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $37.26 / $77.40	Professional		$34.65	$37.26	$77.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $11.89 / $26.87	Professional	26	$10.26	$11.89	$26.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $25.81 / $51.68	Professional	TC	$23.46	$25.81	$51.68