Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $17.23 / $36.28	Facility	26	$17.23	$17.23	$36.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.12 / $169.40 / $169.40	Professional		$106.12	$169.40	$169.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.89 / $140.38 / $140.38	Professional	TC	$88.89	$140.38	$140.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $64.69 / $200.62	Professional		$21.50	$64.69	$200.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $150.13 / $206.60	Professional		$110.75	$150.13	$206.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.53 / $120.77 / $162.12	Professional	TC	$93.53	$120.77	$162.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $32.34 / $166.88	Professional		$27.52	$32.34	$166.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $188.27 / $313.92	Professional		$116.38	$188.27	$313.92
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $86.27 / $120.77 / $162.12	Professional	TC	$86.27	$120.77	$162.12
United Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $134.62 / $266.24	Professional		$113.56	$134.62	$266.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.91 / $107.55 / $211.58	Professional	TC	$88.91	$107.55	$211.58