Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $190.55	Facility		$35.48	$58.88	$190.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $8.13 / $12.30	Facility	26	$8.13	$8.13	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $54.95 / $117.49	Professional		$20.89	$54.95	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $13.18 / $45.71	Professional	26	$5.01	$13.18	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $28.84 / $74.13	Professional	TC	$15.85	$28.84	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $17.78 / $40.74	Professional		$6.03	$17.78	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $56.23 / $81.28	Professional		$18.20	$56.23	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $7.41 / $10.23	Professional	26	$3.98	$7.41	$10.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $48.98 / $70.79	Professional	TC	$14.13	$48.98	$70.79
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 $31.62 / $53.70 / $107.15	Facility		$31.62	$53.70	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $97.72	Professional		$36.31	$63.10	$97.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.71 / $10.96	Professional	26	$6.76	$8.71	$10.96
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $51.29 / $70.79	Professional	TC	$23.99	$51.29	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $60.26	Professional		$19.05	$29.51	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $4.37 / $11.48	Professional	26	$3.89	$4.37	$11.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $25.70 / $45.71	Professional	TC	$14.45	$25.70	$45.71