Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.87 / $20.87 / $44.41	Facility	26	$20.87	$20.87	$44.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $106.73 / $155.77	Professional		$66.87	$106.73	$155.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.01 / $72.79 / $86.27	Professional	TC	$46.01	$72.79	$86.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $68.06 / $173.95	Professional		$25.95	$68.06	$173.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $135.77 / $200.70	Professional		$83.42	$135.77	$200.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.61 / $100.69 / $145.81	Professional	TC	$58.61	$100.69	$145.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.89 / $101.88	Professional		$32.34	$33.89	$101.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $165.28 / $222.79	Professional		$99.67	$165.28	$222.79
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $58.71 / $103.98 / $145.81	Professional	TC	$58.71	$103.98	$145.81
United Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $133.09 / $234.00	Professional		$99.25	$133.09	$234.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $103.51 / $153.01	Professional	TC	$67.48	$103.51	$153.01