Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $45.25 / $51.80	Facility	26	$23.44	$45.25	$51.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $75.63 / $1,805.00	Professional		$62.40	$75.63	$1,805.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $41.44 / $820.00	Professional	26	$27.07	$41.44	$820.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.04 / $40.02 / $197.51	Professional	TC	$35.04	$40.02	$197.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $45.78 / $81.28	Professional		$30.45	$45.78	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $104.69 / $122.49	Professional		$77.68	$104.69	$122.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.39 / $47.22 / $57.38	Professional	26	$32.39	$47.22	$57.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.22 / $53.75 / $67.98	Professional	TC	$42.22	$53.75	$67.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $32.34 / $75.27	Professional		$30.35	$32.34	$75.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $102.28 / $122.49	Professional		$77.68	$102.28	$122.49
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.45 / $47.22 / $57.38	Professional	26	$35.45	$47.22	$57.38
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $42.22 / $53.75 / $65.17	Professional	TC	$42.22	$53.75	$65.17
United Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $89.26 / $132.31	Professional		$84.81	$89.26	$132.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $41.95 / $65.44	Professional	26	$36.95	$41.95	$65.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.86 / $50.48 / $66.87	Professional	TC	$42.86	$50.48	$66.87