Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.46 / $28.46 / $63.44	Facility	26	$28.46	$28.46	$63.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $60.21 / $169.79	Professional		$52.52	$60.21	$169.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.46 / $38.71 / $63.35	Professional	26	$28.46	$38.71	$63.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $19.62 / $119.03	Professional	TC	$16.03	$19.62	$119.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $70.22 / $205.65	Professional		$36.68	$70.22	$205.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $91.62 / $235.09	Professional		$67.06	$91.62	$235.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.60 / $58.18 / $77.09	Professional	26	$43.60	$58.18	$77.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $25.99 / $164.82	Professional	TC	$19.28	$25.99	$164.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.33 / $154.65	Professional		$32.34	$41.33	$154.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $90.40 / $190.31	Professional		$67.06	$90.40	$190.31
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.79 / $58.18 / $77.09	Professional	26	$47.79	$58.18	$77.09
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $23.47 / $133.41	Professional	TC	$19.28	$23.47	$133.41
United Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $105.63 / $197.79	Professional		$74.75	$105.63	$197.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.74 / $52.75 / $79.52	Professional	26	$49.74	$52.75	$79.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.04 / $34.26 / $132.25	Professional	TC	$14.04	$34.26	$132.25