Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $13.49 / $13.49	Facility	26	$12.88	$13.49	$13.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $123.03	Professional		$20.89	$33.11	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.00 / $32.36	Professional	26	$6.03	$10.00	$32.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $32.36 / $54.95	Professional	52	$30.20	$32.36	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $20.89 / $67.61	Professional	TC	$12.59	$20.89	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $19.95 / $36.31	Professional		$7.59	$19.95	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $74.13	Professional		$25.70	$42.66	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $20.89	Professional	26	$7.94	$12.88	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $30.20 / $52.48	Professional	TC	$17.78	$30.20	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $33.11	Professional		$16.22	$32.36	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $74.13	Professional		$29.51	$53.70	$74.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $20.89	Professional	26	$8.91	$13.80	$20.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $32.36 / $45.71	Professional	TC	$20.42	$32.36	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $63.10	Professional		$31.62	$36.31	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.47 / $19.05	Professional	26	$9.77	$10.47	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.30 / $45.71	Professional	TC	$21.88	$26.30	$45.71