Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.12 / $11.12 / $24.26	Facility	26	$11.12	$11.12	$24.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $70.68 / $87.46	Professional		$34.11	$70.68	$87.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $11.12 / $22.68	Professional	26	$7.33	$11.12	$22.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.48 / $63.35 / $78.90	Professional	TC	$20.48	$63.35	$78.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $29.46 / $52.81	Professional		$9.92	$29.46	$52.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $88.87 / $116.33	Professional		$38.08	$88.87	$116.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $12.90 / $23.36	Professional	26	$8.72	$12.90	$23.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $78.81 / $100.41	Professional	TC	$23.78	$78.81	$100.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $32.34 / $50.86	Professional		$18.68	$32.34	$50.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $88.87 / $116.33	Professional		$57.07	$88.87	$116.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $12.90 / $21.72	Professional	26	$8.72	$12.90	$21.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.74 / $78.81 / $100.41	Professional	TC	$24.74	$78.81	$100.41
United Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $77.81 / $119.70	Professional		$42.59	$77.81	$119.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.40 / $15.88 / $30.97	Professional	26	$8.40	$15.88	$30.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.71 / $64.19 / $103.49	Professional	TC	$26.71	$64.19	$103.49