Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.05 / $6.05 / $12.84	Facility	26	$6.05	$6.05	$12.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $29.82 / $61.68	Professional		$24.30	$29.82	$61.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.05 / $7.78 / $12.84	Professional	26	$6.05	$7.78	$12.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $22.05 / $29.03	Professional	TC	$18.25	$22.05	$29.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $22.80 / $39.08	Professional		$5.80	$22.80	$39.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $37.29 / $54.80	Professional		$27.58	$37.29	$54.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $10.90 / $14.96	Professional	26	$7.06	$10.90	$14.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.44 / $27.23 / $38.88	Professional	TC	$20.44	$27.23	$38.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $32.34 / $39.44	Professional		$10.31	$32.34	$39.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $47.20 / $73.31	Professional		$28.79	$47.20	$73.31
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $10.91 / $14.66	Professional	26	$7.07	$10.91	$14.66
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $28.43 / $38.88	Professional	TC	$20.30	$28.43	$38.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $32.47 / $71.09	Professional		$28.49	$32.47	$71.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.02 / $19.76	Professional	26	$8.36	$9.02	$19.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $23.46 / $49.49	Professional	TC	$19.82	$23.46	$49.49