Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.53 / $5.53 / $11.74	Facility	26	$5.53	$5.53	$11.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $10.31 / $10.31 / $20.66	Facility	TC	$10.31	$10.31	$20.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.58 / $44.49	Professional		$15.85	$23.58	$44.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.97 / $7.44 / $18.66	Professional	26	$5.97	$7.44	$18.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $16.53 / $26.68	Professional	TC	$10.31	$16.53	$26.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $14.95 / $26.80	Professional		$5.31	$14.95	$26.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $29.73 / $42.83	Professional		$18.34	$29.73	$42.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $9.60 / $13.67	Professional	26	$6.47	$9.60	$13.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.17 / $19.63 / $29.92	Professional	TC	$12.17	$19.63	$29.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $25.62 / $32.34	Professional		$9.09	$25.62	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $36.69 / $48.12	Professional		$20.83	$36.69	$48.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $9.69 / $13.42	Professional	26	$6.47	$9.69	$13.42
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $12.38 / $19.63 / $29.92	Professional	TC	$12.38	$19.63	$29.92
United Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $24.50 / $56.89	Professional		$21.65	$24.50	$56.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $7.94 / $17.39	Professional	26	$7.32	$7.94	$17.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.71 / $17.02 / $37.78	Professional	TC	$13.71	$17.02	$37.78