Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.55 / $6.55 / $13.81	Facility	26	$6.55	$6.55	$13.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $28.75 / $118.41	Professional		$19.69	$28.75	$118.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.05 / $21.17	Professional	26	$7.33	$9.05	$21.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.94 / $19.46 / $41.59	Professional	TC	$11.94	$19.46	$41.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $16.55 / $31.63	Professional		$6.24	$16.55	$31.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $35.68 / $50.76	Professional		$22.35	$35.68	$50.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $12.08 / $16.16	Professional	26	$7.64	$12.08	$16.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.44 / $24.37 / $40.08	Professional	TC	$14.44	$24.37	$40.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $28.37 / $32.34	Professional		$10.70	$28.37	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $43.67 / $57.89	Professional		$25.06	$43.67	$57.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $12.25 / $16.02	Professional	26	$7.65	$12.25	$16.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.57 / $25.28 / $40.08	Professional	TC	$15.57	$25.28	$40.08
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $30.92 / $63.18	Professional		$27.77	$30.92	$63.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.51 / $22.13	Professional	26	$8.36	$9.51	$22.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $22.81 / $45.24	Professional	TC	$18.77	$22.81	$45.24