Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $117.69 / $149.12	Facility		$8.40	$117.69	$149.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.77 / $5.77 / $12.18	Facility	26	$5.77	$5.77	$12.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $14.15 / $66.11	Professional		$11.36	$14.15	$66.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $8.83 / $12.01	Professional	26	$6.23	$8.83	$12.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $11.36	Professional	50	$11.36	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.63 / $4.42 / $6.50	Professional	TC	$2.63	$4.42	$6.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $147.91 / $262.87	Facility		$43.99	$147.91	$262.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.22 / $17.64	Professional		$4.68	$9.22	$17.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Facility		$3.50	$3.50	$3.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $16.32 / $23.43	Professional		$10.41	$16.32	$23.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $15.90	Professional	26	$7.08	$11.22	$15.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.15 / $5.12 / $7.90	Professional	TC	$3.15	$5.12	$7.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $13.25 / $32.34	Professional		$3.79	$13.25	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $15.96 / $28.34	Facility		$10.57	$15.96	$28.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $20.36 / $27.30	Professional		$10.61	$20.36	$27.30
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.56 / $15.90	Professional	26	$7.08	$11.56	$15.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $3.15 / $5.12 / $7.90	Professional	TC	$3.15	$5.12	$7.90
United Facility/Professional Facility Modifier Low / Median / High Price $48.35 / $48.35 / $107.13	Facility		$48.35	$48.35	$107.13
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $13.64 / $24.52	Professional		$12.27	$13.64	$24.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $9.55 / $17.48	Professional	26	$8.30	$9.55	$17.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.60 / $4.42 / $8.06	Professional	TC	$3.60	$4.42	$8.06