Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.69 / $15.69 / $33.06	Facility	26	$15.69	$15.69	$33.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $67.64 / $115.81	Professional		$48.56	$67.64	$115.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.69 / $21.62 / $31.76	Professional	26	$15.69	$21.62	$31.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $46.02 / $84.04	Professional	TC	$32.86	$46.02	$84.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $44.86 / $98.63	Professional		$14.94	$44.86	$98.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $87.83 / $126.93	Professional		$54.47	$87.83	$126.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.26 / $29.14 / $38.21	Professional	26	$18.26	$29.14	$38.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $58.58 / $85.48	Professional	TC	$36.86	$58.58	$85.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $32.34 / $73.60	Professional		$25.60	$32.34	$73.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $108.09 / $145.12	Professional		$63.21	$108.09	$145.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $18.27 / $29.22 / $38.21	Professional	26	$18.27	$29.22	$38.21
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $37.20 / $58.61 / $85.48	Professional	TC	$37.20	$58.61	$85.48
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $70.33 / $154.78	Professional		$64.23	$70.33	$154.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.04 / $23.09 / $50.55	Professional	26	$22.04	$23.09	$50.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $48.67 / $92.46	Professional	TC	$41.50	$48.67	$92.46