Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.30 / $8.30 / $19.46	Facility	26	$8.30	$8.30	$19.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $65.34 / $132.10	Professional		$19.82	$65.34	$132.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $10.31 / $43.54	Professional	26	$8.49	$10.31	$43.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.52 / $56.50 / $69.31	Professional	TC	$11.52	$56.50	$69.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $17.29 / $31.00	Professional		$6.76	$17.29	$31.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $82.37 / $118.29	Professional		$21.56	$82.37	$118.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $13.06 / $18.47	Professional	26	$8.24	$13.06	$18.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.30 / $70.31 / $100.36	Professional	TC	$13.30	$70.31	$100.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $27.42 / $32.34	Professional		$11.57	$27.42	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $59.06 / $111.54	Professional		$28.59	$59.06	$111.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $13.17 / $17.09	Professional	26	$8.55	$13.17	$17.09
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $13.77 / $70.31 / $99.82	Professional	TC	$13.77	$70.31	$99.82
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $56.70 / $108.78	Professional		$19.94	$56.70	$108.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $9.19 / $22.13	Professional	26	$8.59	$9.19	$22.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $33.28 / $83.49	Professional	TC	$11.35	$33.28	$83.49