Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.60 / $117.49	Facility		$16.22	$16.60	$117.49
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $11.22 / $11.22	Facility	26	$10.72	$11.22	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $58.88	Professional		$8.91	$12.88	$58.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $24.55	Professional	26	$6.03	$7.94	$24.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $11.48	Professional	50	$11.48	$11.48	$11.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.02 / $12.88	Professional	TC	$2.00	$3.02	$12.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $154.88 / $263.03	Facility		$74.13	$154.88	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.13 / $17.38	Professional		$5.50	$8.13	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $13.80	Facility		$3.47	$3.47	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.49 / $23.44	Professional		$10.00	$15.49	$23.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.72 / $15.85	Professional	26	$6.76	$10.72	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.09 / $4.79 / $7.94	Professional	TC	$3.09	$4.79	$7.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $32.36 / $33.11	Professional		$4.37	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.60 / $27.54	Facility		$11.48	$16.60	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.42 / $26.92	Professional		$10.00	$20.42	$26.92
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.22 / $15.85	Professional	26	$6.76	$11.22	$15.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $3.09 / $5.25 / $8.32	Professional	TC	$3.09	$5.25	$8.32
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $125.89 / $125.89	Facility		$56.23	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $24.55	Professional		$12.30	$13.80	$24.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.55 / $16.22	Professional	26	$8.32	$9.55	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $4.47 / $8.13	Professional	TC	$3.63	$4.47	$8.13