Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.18 / $11.18 / $23.45	Facility	26	$11.18	$11.18	$23.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $55.15 / $72.19	Professional		$30.17	$55.15	$72.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $14.39 / $22.81	Professional	26	$11.18	$14.39	$22.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $41.56 / $51.77	Professional	TC	$18.98	$41.56	$51.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $28.55 / $66.63	Professional		$14.27	$28.55	$66.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $70.28 / $92.06	Professional		$36.47	$70.28	$92.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $20.04 / $28.04	Professional	26	$13.24	$20.04	$28.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $51.78 / $63.37	Professional	TC	$22.36	$51.78	$63.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $32.34 / $48.92	Professional		$18.64	$32.34	$48.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $76.13 / $106.49	Professional		$46.85	$76.13	$106.49
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $20.07 / $26.80	Professional	26	$13.26	$20.07	$26.80
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $51.78 / $63.37	Professional	TC	$22.36	$51.78	$63.37
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $72.77 / $98.31	Professional		$40.78	$72.77	$98.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.54 / $16.59 / $34.76	Professional	26	$15.54	$16.59	$34.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $45.53 / $61.62	Professional	TC	$24.54	$45.53	$61.62