Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.90 / $93.33	Facility		$23.99	$30.90	$93.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $14.45 / $20.89	Facility	26	$14.45	$14.45	$20.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $9.33 / $9.33 / $14.45	Facility	TC	$9.33	$9.33	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $39.81	Professional		$12.88	$20.89	$39.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $19.95 / $83.18	Professional	26	$8.91	$19.95	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $7.41 / $52.48	Professional	TC	$5.25	$7.41	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $25.70	Professional		$10.96	$14.79	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $20.89 / $28.84	Professional		$9.12	$20.89	$28.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.49 / $18.62	Professional	26	$7.08	$13.49	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.14 / $7.76 / $10.47	Professional	TC	$2.14	$7.76	$10.47
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 $16.98 / $26.30 / $37.15	Facility		$16.98	$26.30	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $54.95	Professional		$19.95	$28.84	$54.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $19.50	Professional	26	$12.02	$15.85	$19.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $7.41 / $8.71 / $12.59	Professional	TC	$7.41	$8.71	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $35.48	Professional		$10.96	$13.18	$35.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $7.76 / $20.89	Professional	26	$6.92	$7.76	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $5.37 / $14.45	Professional	TC	$3.80	$5.37	$14.45