Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.58 / $29.58 / $62.44	Facility	26	$29.58	$29.58	$62.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $132.50 / $138.69	Professional		$81.79	$132.50	$138.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.20 / $82.55 / $100.62	Professional	TC	$52.20	$82.55	$100.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $172.84 / $240.78	Professional		$93.93	$172.84	$240.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.17 / $117.93 / $164.93	Professional	TC	$59.17	$117.93	$164.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.09 / $119.33	Professional		$32.34	$49.09	$119.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.36 / $189.28 / $243.58	Professional		$106.36	$189.28	$243.58
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $61.61 / $117.93 / $164.93	Professional	TC	$61.61	$117.93	$164.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $147.15 / $264.54	Professional		$104.66	$147.15	$264.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.80 / $104.95 / $151.38	Professional	TC	$62.80	$104.95	$151.38