Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.94 / $32.94 / $73.20	Facility	26	$32.94	$32.94	$73.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $60.27 / $157.19	Professional		$55.57	$60.27	$157.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $41.15 / $213.00	Professional	26	$37.99	$41.15	$213.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $19.94 / $37.61	Professional	TC	$17.57	$19.94	$37.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $58.49 / $112.48	Professional		$32.75	$58.49	$112.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $93.06 / $113.75	Professional		$66.88	$93.06	$113.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.27 / $66.64 / $81.09	Professional	26	$45.27	$66.64	$81.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.13 / $26.43 / $33.51	Professional	TC	$21.13	$26.43	$33.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $32.34 / $74.80	Professional		$17.51	$32.34	$74.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $93.06 / $113.75	Professional		$66.88	$93.06	$113.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $49.70 / $66.64 / $81.09	Professional	26	$49.70	$66.64	$81.09
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.13 / $26.43 / $33.51	Professional	TC	$21.13	$26.43	$33.51
United Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $80.95 / $129.47	Professional		$76.73	$80.95	$129.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.63 / $58.55 / $92.20	Professional	26	$51.63	$58.55	$92.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $24.21 / $37.28	Professional	TC	$23.44	$24.21	$37.28