Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.64 / $9.64 / $20.23	Facility	26	$9.64	$9.64	$20.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.46 / $22.46 / $44.59	Facility	TC	$22.46	$22.46	$44.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $41.89 / $98.47	Professional		$32.10	$41.89	$98.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $13.26 / $30.34	Professional	26	$9.64	$13.26	$30.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $28.51 / $56.30	Professional	TC	$22.46	$28.51	$56.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $29.48 / $52.85	Professional		$9.14	$29.48	$52.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $50.38 / $67.34	Professional		$35.99	$50.38	$67.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $17.04 / $23.88	Professional	26	$11.20	$17.04	$23.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $32.03 / $45.23	Professional	TC	$24.83	$32.03	$45.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $32.34 / $50.14	Professional		$15.67	$32.34	$50.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $59.99 / $95.48	Professional		$37.58	$59.99	$95.48
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $17.30 / $23.13	Professional	26	$11.20	$17.30	$23.13
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $32.03 / $42.47	Professional	TC	$24.83	$32.03	$42.47
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $42.22 / $86.91	Professional		$38.50	$42.22	$86.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.66 / $14.78 / $30.77	Professional	26	$13.66	$14.78	$30.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.44 / $28.51 / $56.10	Professional	TC	$25.44	$28.51	$56.10