Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $31.16 / $93.48	Facility		$28.12	$31.16	$93.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $17.82 / $33.64	Professional		$16.00	$17.82	$33.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $10.92 / $18.73	Professional	26	$10.07	$10.92	$18.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.92 / $6.90 / $10.02	Professional	TC	$5.92	$6.90	$10.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $14.93 / $29.32	Professional		$10.90	$14.93	$29.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $20.93 / $34.79	Professional		$16.47	$20.93	$34.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $14.66 / $21.89	Professional	26	$10.10	$14.66	$21.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.37 / $7.85 / $11.05	Professional	TC	$6.37	$7.85	$11.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $29.14 / $32.34	Professional		$11.52	$29.14	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $18.87 / $31.74	Facility		$17.14	$18.87	$31.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $26.39 / $55.01	Professional		$19.62	$26.39	$55.01
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $14.66 / $19.53	Professional	26	$11.89	$14.66	$19.53
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $7.44 / $8.09 / $11.05	Professional	TC	$7.44	$8.09	$11.05
United Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $13.21 / $35.22	Professional		$11.21	$13.21	$35.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.13 / $7.80 / $20.79	Professional	26	$7.13	$7.80	$20.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.08 / $5.41 / $14.43	Professional	TC	$4.08	$5.41	$14.43