Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.81 / $6.81 / $14.35	Facility	26	$6.81	$6.81	$14.35
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.25 / $17.25 / $34.34	Facility	TC	$17.25	$17.25	$34.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $30.76 / $82.21	Professional		$24.06	$30.76	$82.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $9.40 / $37.00	Professional	26	$7.62	$9.40	$37.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.25 / $19.71 / $45.59	Professional	TC	$17.25	$19.71	$45.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $22.60 / $38.74	Professional		$6.49	$22.60	$38.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $35.22 / $50.67	Professional		$27.10	$35.22	$50.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.76 / $16.80	Professional	26	$7.94	$11.76	$16.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.28 / $34.81	Professional	TC	$19.50	$25.28	$34.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $32.34 / $39.10	Professional		$11.12	$32.34	$39.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $45.97 / $71.80	Professional		$28.54	$45.97	$71.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $12.07 / $17.17	Professional	26	$7.95	$12.07	$17.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.28 / $33.51	Professional	TC	$19.50	$25.28	$33.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $32.11 / $65.56	Professional		$29.05	$32.11	$65.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $10.23 / $21.86	Professional	26	$9.19	$10.23	$21.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.60 / $22.38 / $44.23	Professional	TC	$19.60	$22.38	$44.23