Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $15.49 / $19.50	Facility	26	$13.49	$15.49	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $134.90	Professional		$26.92	$44.67	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $33.11	Professional	26	$7.94	$12.02	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $32.36 / $75.86	Professional	TC	$19.50	$32.36	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $27.54 / $48.98	Professional		$7.76	$27.54	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $79.43	Professional		$35.48	$57.54	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $22.39	Professional	26	$9.33	$14.13	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $41.69 / $60.26	Professional	TC	$25.12	$41.69	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $45.71	Professional		$19.05	$33.11	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $100.00	Professional		$39.81	$70.79	$100.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.14 / $22.39	Professional	26	$9.33	$15.14	$22.39
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $47.86 / $60.26	Professional	TC	$30.20	$47.86	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $81.28	Professional		$39.81	$47.86	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.75 / $22.39	Professional	26	$10.23	$11.75	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.02 / $63.10	Professional	TC	$28.18	$38.02	$63.10