Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $14.45 / $19.05	Facility	26	$13.80	$14.45	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $131.83	Professional		$26.92	$42.66	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.59 / $32.36	Professional	26	$7.76	$12.59	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.84 / $77.62	Professional	TC	$18.62	$28.84	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $26.92 / $50.12	Professional		$8.91	$26.92	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $67.61	Professional		$33.11	$43.65	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.30 / $19.50	Professional	26	$9.12	$12.30	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $31.62 / $47.86	Professional	TC	$23.44	$31.62	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $44.67	Professional		$19.05	$33.11	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $89.13	Professional		$34.67	$54.95	$89.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.18 / $18.20	Professional	26	$9.12	$13.18	$18.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.88 / $45.71	Professional	TC	$23.99	$33.88	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $70.79	Professional		$34.67	$38.90	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $21.38	Professional	26	$9.12	$12.02	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $26.92 / $52.48	Professional	TC	$25.12	$26.92	$52.48