Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $91.20	Professional		$40.74	$64.57	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.91 / $165.96	Professional	26	$15.14	$22.91	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $41.69 / $56.23	Professional	TC	$25.70	$41.69	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $43.65 / $79.43	Professional		$22.39	$43.65	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $64.57 / $89.13	Professional		$33.88	$64.57	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $23.99 / $33.88	Professional	26	$11.48	$23.99	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $40.74 / $56.23	Professional	TC	$22.39	$40.74	$56.23
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 Professional Modifier Low / Median / High Price $63.10 / $89.13 / $181.97	Professional		$63.10	$89.13	$181.97
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $26.92 / $38.02	Professional	26	$22.91	$26.92	$38.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $47.86 / $66.07	Professional	TC	$39.81	$47.86	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $120.23	Professional		$34.67	$44.67	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.60 / $44.67	Professional	26	$12.02	$16.60	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.18 / $75.86	Professional	TC	$22.39	$28.18	$75.86