Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $38.56 / $72.73	Professional		$34.84	$38.56	$72.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.96 / $27.07 / $47.00	Professional	26	$24.96	$27.07	$47.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $11.48 / $26.53	Professional	TC	$9.88	$11.48	$26.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $47.66 / $75.14	Professional		$26.83	$47.66	$75.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $51.96 / $75.02	Professional		$42.98	$51.96	$75.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.17 / $35.96 / $54.46	Professional	26	$25.17	$35.96	$54.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.25 / $17.05 / $22.71	Professional	TC	$12.25	$17.05	$22.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $35.10 / $74.83	Professional		$22.71	$35.10	$74.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $44.19 / $77.97	Facility		$37.95	$44.19	$77.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $65.78 / $143.38	Professional		$49.28	$65.78	$143.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $29.25 / $35.96 / $47.93	Professional	26	$29.25	$35.96	$47.93
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $12.25 / $15.98 / $22.71	Professional	TC	$12.25	$15.98	$22.71
United Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $33.35 / $88.93	Professional		$24.26	$33.35	$88.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.53 / $19.48 / $51.97	Professional	26	$17.53	$19.48	$51.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.73 / $13.86 / $30.81	Professional	TC	$6.73	$13.86	$30.81