Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $56.56 / $94.11	Professional		$50.71	$56.56	$94.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.10 / $33.79 / $57.55	Professional	26	$31.10	$33.79	$57.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.60 / $20.84 / $36.54	Professional	TC	$19.60	$20.84	$36.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $49.12 / $95.33	Professional		$32.86	$49.12	$95.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $65.69 / $109.95	Professional		$45.18	$65.69	$109.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.88 / $45.22 / $67.70	Professional	26	$30.88	$45.22	$67.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $24.09 / $36.19	Professional	TC	$14.31	$24.09	$36.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $32.34 / $79.53	Professional		$26.40	$32.34	$79.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $85.69 / $147.90	Professional		$53.56	$85.69	$147.90
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.83 / $45.22 / $60.22	Professional	26	$35.83	$45.22	$60.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $24.09 / $36.19	Professional	TC	$17.73	$24.09	$36.19
United Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $34.64 / $109.71	Professional		$33.85	$34.64	$109.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.57 / $23.82 / $63.52	Professional	26	$21.57	$23.82	$63.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $11.72 / $28.86	Professional	TC	$10.82	$11.72	$28.86