Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.91 / $10.91 / $22.85	Facility	26	$10.91	$10.91	$22.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $58.20 / $146.77	Professional		$37.59	$58.20	$146.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $14.66 / $33.14	Professional	26	$10.91	$14.66	$33.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.67 / $42.31 / $76.39	Professional	TC	$26.67	$42.31	$76.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $36.52 / $65.47	Professional		$10.10	$36.52	$65.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $66.89 / $87.47	Professional		$45.33	$66.89	$87.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $18.73 / $26.11	Professional	26	$12.38	$18.73	$26.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $48.15 / $62.97	Professional	TC	$33.40	$48.15	$62.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $32.34 / $63.35	Professional		$17.30	$32.34	$63.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $84.29 / $116.86	Professional		$51.45	$84.29	$116.86
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $19.21 / $26.11	Professional	26	$12.39	$19.21	$26.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $51.39 / $64.91	Professional	TC	$33.40	$51.39	$64.91
United Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $59.54 / $128.66	Professional		$39.51	$59.54	$128.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $11.90 / $33.97	Professional	26	$11.07	$11.90	$33.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.44 / $31.82 / $87.46	Professional	TC	$28.44	$31.82	$87.46