Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $58.52 / $192.70	Facility		$50.92	$58.52	$192.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $54.35 / $59.79	Professional		$35.39	$54.35	$59.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.40 / $5.87 / $10.27	Professional	26	$5.40	$5.87	$10.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.27 / $48.47 / $50.00	Professional	TC	$27.27	$48.47	$50.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $17.64 / $72.73	Professional		$6.08	$17.64	$72.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $58.45 / $86.62	Professional		$24.13	$58.45	$86.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.54 / $7.98 / $10.62	Professional	26	$5.54	$7.98	$10.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.59 / $51.10 / $76.00	Professional	TC	$18.59	$51.10	$76.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $32.34 / $46.39	Professional		$9.84	$32.34	$46.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.95 / $43.75 / $63.44	Facility		$31.95	$43.75	$63.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $63.53 / $89.50	Professional		$30.57	$63.53	$89.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $7.98 / $10.62	Professional	26	$6.64	$7.98	$10.62
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.93 / $51.10 / $76.00	Professional	TC	$23.93	$51.10	$76.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $19.97 / $59.66	Professional		$18.84	$19.97	$59.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.88 / $4.33 / $11.55	Professional	26	$3.88	$4.33	$11.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $21.76 / $45.94	Professional	TC	$14.51	$21.76	$45.94