Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.32 / $20.98 / $24.03	Facility	26	$11.32	$20.98	$24.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $65.64 / $205.87	Professional		$56.30	$65.64	$205.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $16.00 / $78.40	Professional	26	$14.36	$16.00	$78.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.79 / $49.21 / $112.54	Professional	TC	$40.79	$49.21	$112.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $47.91 / $105.34	Professional		$10.86	$47.91	$105.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $74.86 / $106.40	Professional		$57.29	$74.86	$106.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $20.05 / $27.98	Professional	26	$13.23	$20.05	$27.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.22 / $58.16 / $82.97	Professional	TC	$45.22	$58.16	$82.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $32.34 / $82.10	Professional		$18.60	$32.34	$82.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $96.86 / $155.82	Professional		$60.65	$96.86	$155.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $20.51 / $29.28	Professional	26	$13.24	$20.51	$29.28
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $45.22 / $58.16 / $77.11	Professional	TC	$45.22	$58.16	$77.11
United Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $68.56 / $138.25	Professional		$59.57	$68.56	$138.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $17.48 / $36.34	Professional	26	$15.66	$17.48	$36.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.15 / $51.97 / $101.91	Professional	TC	$45.15	$51.97	$101.91