Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $20.89 / $20.89	Facility	26	$19.95	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $162.18	Professional		$34.67	$53.70	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $38.02	Professional	26	$9.33	$14.13	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $112.20	Professional	TC	$25.12	$39.81	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $36.31 / $67.61	Professional		$10.00	$36.31	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $95.50	Professional		$43.65	$67.61	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $27.54	Professional	26	$12.02	$18.62	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $47.86 / $69.18	Professional	TC	$30.20	$47.86	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $58.88	Professional		$25.70	$33.11	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $123.03	Professional		$47.86	$79.43	$123.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.05 / $27.54	Professional	26	$12.30	$19.05	$27.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $51.29 / $69.18	Professional	TC	$33.88	$51.29	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $107.15	Professional		$38.90	$43.65	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.02 / $30.20	Professional	26	$10.72	$12.02	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $31.62 / $77.62	Professional	TC	$28.18	$31.62	$77.62