Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $49.07 / $92.55	Professional		$43.95	$49.07	$92.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $27.73 / $52.30	Professional	26	$25.55	$27.73	$52.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $21.35 / $40.27	Professional	TC	$18.39	$21.35	$40.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $48.52 / $91.64	Professional		$31.06	$48.52	$91.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $56.86 / $94.87	Professional		$43.86	$56.86	$94.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.17 / $36.79 / $62.97	Professional	26	$29.17	$36.79	$62.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.69 / $22.61 / $31.46	Professional	TC	$14.69	$22.61	$31.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $32.34 / $80.38	Professional		$30.18	$32.34	$80.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $73.64 / $143.38	Professional		$53.07	$73.64	$143.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.85 / $36.79 / $55.22	Professional	26	$33.85	$36.79	$55.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $22.61 / $31.46	Professional	TC	$19.04	$22.61	$31.46
United Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $34.21 / $91.23	Professional		$30.37	$34.21	$91.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.94 / $22.52 / $56.30	Professional	26	$17.94	$22.52	$56.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.69 / $12.43 / $32.49	Professional	TC	$11.69	$12.43	$32.49