Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $9.77 / $20.81	Facility	26	$9.77	$9.77	$20.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $40.10 / $178.63	Professional		$34.85	$40.10	$178.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $13.55 / $31.28	Professional	26	$9.77	$13.55	$31.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.73 / $27.14 / $27.14	Professional	52	$16.73	$27.14	$27.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $25.59 / $57.75	Professional	TC	$22.26	$25.59	$57.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $31.09 / $55.73	Professional		$9.41	$31.09	$55.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $49.39 / $71.04	Professional		$37.64	$49.39	$71.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $18.48 / $25.14	Professional	26	$11.82	$18.48	$25.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.93 / $32.47 / $48.35	Professional	TC	$25.93	$32.47	$48.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $32.34 / $53.26	Professional		$16.12	$32.34	$53.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $62.29 / $100.82	Professional		$38.92	$62.29	$100.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.83 / $19.14 / $25.14	Professional	26	$11.83	$19.14	$25.14
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.93 / $32.47 / $44.11	Professional	TC	$25.93	$32.47	$44.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $44.75 / $91.65	Professional		$37.51	$44.75	$91.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $15.92 / $36.90	Professional	26	$13.30	$15.92	$36.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $32.29 / $68.26	Professional	TC	$23.80	$32.29	$68.26