Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.09 / $8.09 / $17.03	Facility	26	$8.09	$8.09	$17.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $48.90 / $104.82	Professional		$30.30	$48.90	$104.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $10.82 / $16.52	Professional	26	$8.74	$10.82	$16.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $36.57 / $56.30	Professional	TC	$22.21	$36.57	$56.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $27.81 / $51.14	Professional		$7.69	$27.81	$51.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $57.85 / $80.27	Professional		$35.54	$57.85	$80.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $14.91 / $20.00	Professional	26	$9.42	$14.91	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.48 / $43.70 / $58.00	Professional	TC	$25.48	$43.70	$58.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.34 / $47.66	Professional		$13.18	$32.34	$47.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $69.84 / $90.89	Professional		$39.82	$69.84	$90.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $15.30 / $20.00	Professional	26	$9.43	$15.30	$20.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.51 / $45.60 / $58.00	Professional	TC	$26.51	$45.60	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $48.26 / $96.52	Professional		$40.06	$48.26	$96.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.89 / $27.65	Professional	26	$10.23	$11.89	$27.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $38.00 / $72.89	Professional	TC	$28.51	$38.00	$72.89