Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $53.35 / $78.15	Professional		$53.35	$53.35	$78.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $18.12 / $30.15	Professional	26	$18.12	$18.12	$30.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.22 / $35.22 / $48.00	Professional	TC	$35.22	$35.22	$48.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $43.44 / $115.67	Professional		$22.23	$43.44	$115.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $69.03 / $90.68	Professional		$56.60	$69.03	$90.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.49 / $24.74 / $34.08	Professional	26	$21.49	$24.74	$34.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.11 / $40.74 / $57.66	Professional	TC	$35.11	$40.74	$57.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.90 / $92.49	Professional		$32.34	$35.90	$92.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $87.19 / $183.07	Professional		$64.28	$87.19	$183.07
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.76 / $25.13 / $34.08	Professional	26	$22.76	$25.13	$34.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $40.00 / $44.29 / $57.66	Professional	TC	$40.00	$44.29	$57.66
United Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $45.04 / $112.61	Professional		$34.45	$45.04	$112.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.03 / $16.67 / $44.46	Professional	26	$12.03	$16.67	$44.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.42 / $28.37 / $75.65	Professional	TC	$22.42	$28.37	$75.65