Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $58.81 / $148.96	Professional		$47.46	$58.81	$148.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.85 / $24.87 / $39.49	Professional	26	$20.85	$24.87	$39.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $33.94 / $109.46	Professional	TC	$26.60	$33.94	$109.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $54.58 / $96.97	Professional		$22.63	$54.58	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $70.40 / $100.81	Professional		$35.74	$70.40	$100.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.94 / $30.13 / $45.21	Professional	26	$20.94	$30.13	$45.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.60 / $41.11 / $51.75	Professional	TC	$32.60	$41.11	$51.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.58 / $116.51	Professional		$32.34	$36.58	$116.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $94.00 / $189.38	Professional		$60.32	$94.00	$189.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.68 / $30.13 / $39.64	Professional	26	$24.68	$30.13	$39.64
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $32.60 / $42.26 / $51.75	Professional	TC	$32.60	$42.26	$51.75
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $43.52 / $116.06	Professional		$32.61	$43.52	$116.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $16.23 / $43.31	Professional	26	$14.68	$16.23	$43.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $27.28 / $72.75	Professional	TC	$17.94	$27.28	$72.75