Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.29 / $13.26 / $29.58	Facility	26	$6.29	$13.26	$29.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $36.43 / $141.00	Professional		$30.51	$36.43	$141.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $8.90 / $20.39	Professional	26	$6.79	$8.90	$20.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $26.50 / $65.56	Professional	TC	$22.26	$26.50	$65.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $26.43 / $48.81	Professional		$5.77	$26.43	$48.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $43.67 / $65.06	Professional		$31.97	$43.67	$65.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $11.75 / $16.57	Professional	26	$7.29	$11.75	$16.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.84 / $32.47 / $46.65	Professional	TC	$22.84	$32.47	$46.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $32.34 / $46.66	Professional		$10.27	$32.34	$46.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $56.01 / $90.89	Professional		$32.95	$56.01	$90.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $11.75 / $16.57	Professional	26	$7.80	$11.75	$16.57
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.84 / $32.47 / $46.65	Professional	TC	$22.84	$32.47	$46.65
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $39.34 / $86.91	Professional		$29.57	$39.34	$86.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $9.86 / $22.92	Professional	26	$8.34	$9.86	$22.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $30.32 / $67.48	Professional	TC	$20.55	$30.32	$67.48