Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.34 / $12.34 / $26.10	Facility	26	$12.34	$12.34	$26.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $47.95 / $92.97	Professional		$34.79	$47.95	$92.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $16.77 / $35.88	Professional	26	$12.34	$16.77	$35.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $30.90 / $55.84	Professional	TC	$22.46	$30.90	$55.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $81.42	Professional		$13.49	$32.36	$81.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $55.61 / $76.63	Professional		$39.36	$55.61	$76.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.41 / $21.41 / $29.82	Professional	26	$14.41	$21.41	$29.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $36.26 / $45.45	Professional	TC	$25.14	$36.26	$45.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $32.34 / $53.36	Professional		$20.20	$32.34	$53.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $65.84 / $104.64	Professional		$41.57	$65.84	$104.64
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.42 / $21.46 / $29.82	Professional	26	$14.42	$21.46	$29.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.59 / $34.29 / $45.45	Professional	TC	$24.59	$34.29	$45.45
United Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $48.51 / $94.49	Professional		$42.55	$48.51	$94.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $17.68 / $38.71	Professional	26	$15.85	$17.68	$38.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.90 / $32.15 / $56.96	Professional	TC	$25.90	$32.15	$56.96