Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.30 / $56.23	Facility		$17.38	$26.30	$56.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.25 / $5.25 / $7.94	Facility	26	$5.25	$5.25	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $47.86	Professional		$10.00	$18.20	$47.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $5.37 / $24.55	Professional	26	$3.02	$5.37	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $12.88 / $25.12	Professional	TC	$7.08	$12.88	$25.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $11.22 / $20.42	Professional		$3.98	$11.22	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $28.18 / $40.74	Professional		$8.13	$28.18	$40.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.63 / $5.01 / $6.92	Professional	26	$2.63	$5.01	$6.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $23.44 / $33.88	Professional	TC	$5.50	$23.44	$33.88
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 Facility Modifier Low / Median / High Price $15.49 / $26.92 / $51.29	Facility		$15.49	$26.92	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $47.86	Professional		$18.62	$30.90	$47.86
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $5.75 / $7.24	Professional	26	$4.37	$5.75	$7.24
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $24.55 / $33.88	Professional	TC	$10.72	$24.55	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $30.20	Professional		$9.55	$14.45	$30.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.57 / $2.82 / $7.59	Professional	26	$2.57	$2.82	$7.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $11.22 / $21.38	Professional	TC	$6.76	$11.22	$21.38