Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $588.84	Professional		$52.48	$72.44	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $25.12 / $169.82	Professional	26	$15.14	$25.12	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $43.65 / $426.58	Professional	TC	$32.36	$43.65	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $56.23 / $100.00	Professional		$17.38	$56.23	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $66.07 / $83.18	Professional		$29.51	$66.07	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $26.92 / $37.15	Professional	26	$14.45	$26.92	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $36.31 / $48.98	Professional	TC	$14.79	$36.31	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $218.78	Professional		$60.26	$83.18	$218.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $31.62 / $39.81	Professional	26	$24.55	$31.62	$39.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $43.65 / $58.88	Professional	TC	$33.11	$43.65	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $112.20	Professional		$32.36	$41.69	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $15.85 / $41.69	Professional	26	$14.13	$15.85	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $69.18	Professional	TC	$18.20	$25.70	$69.18