Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $53.46 / $82.75	Professional		$47.46	$53.46	$82.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.26 / $21.91 / $29.43	Professional	26	$20.26	$21.91	$29.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $31.57 / $53.32	Professional	TC	$27.21	$31.57	$53.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $55.94 / $102.21	Professional		$22.35	$55.94	$102.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $68.95 / $90.49	Professional		$38.86	$68.95	$90.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.68 / $29.32 / $44.16	Professional	26	$20.68	$29.32	$44.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.34 / $42.04 / $51.38	Professional	TC	$33.34	$42.04	$51.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.13 / $117.43	Professional		$32.34	$36.13	$117.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $95.96 / $194.79	Professional		$60.32	$95.96	$194.79
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $29.32 / $39.11	Professional	26	$24.37	$29.32	$39.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.34 / $43.49 / $51.38	Professional	TC	$33.34	$43.49	$51.38
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $41.79 / $104.48	Professional		$32.61	$41.79	$104.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $15.81 / $42.16	Professional	26	$14.27	$15.81	$42.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.35 / $25.98 / $69.28	Professional	TC	$18.35	$25.98	$69.28