Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $26.41 / $49.50	Professional		$23.89	$26.41	$49.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.26 / $19.85 / $33.11	Professional	26	$18.26	$19.85	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.62 / $6.54 / $16.38	Professional	TC	$5.62	$6.54	$16.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $25.75 / $56.76	Professional		$19.03	$25.75	$56.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $33.20 / $50.79	Professional		$23.24	$33.20	$50.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $26.33 / $38.79	Professional	26	$17.78	$26.33	$38.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.46 / $7.34 / $10.52	Professional	TC	$5.46	$7.34	$10.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $32.34 / $42.59	Professional		$11.84	$32.34	$42.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $40.82 / $75.75	Professional		$28.08	$40.82	$75.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $26.33 / $34.02	Professional	26	$20.74	$26.33	$34.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $7.69 / $10.52	Professional	TC	$6.76	$7.69	$10.52
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $18.19 / $48.51	Professional		$16.72	$18.19	$48.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $13.86 / $36.96	Professional	26	$12.46	$13.86	$36.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.87 / $4.33 / $13.72	Professional	TC	$3.87	$4.33	$13.72