Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.56 / $13.59 / $13.59	Facility	26	$8.56	$13.59	$13.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $35.25 / $120.80	Professional		$27.64	$35.25	$120.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.05 / $13.66 / $32.75	Professional	26	$9.05	$13.66	$32.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.14 / $22.25 / $37.39	Professional	TC	$16.14	$22.25	$37.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $21.10 / $35.36	Professional		$7.45	$21.10	$35.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $42.94 / $62.08	Professional		$31.00	$42.94	$62.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $17.05 / $22.96	Professional	26	$10.98	$17.05	$22.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $25.67 / $35.90	Professional	TC	$19.82	$25.67	$35.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $32.34 / $42.24	Professional		$14.90	$32.34	$42.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $52.98 / $74.09	Professional		$34.53	$52.98	$74.09
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $17.89 / $23.41	Professional	26	$11.01	$17.89	$23.41
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.72 / $26.16 / $35.90	Professional	TC	$20.72	$26.16	$35.90
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $53.54 / $79.78	Professional		$37.89	$53.54	$79.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $21.10 / $32.40	Professional	26	$14.44	$21.10	$32.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $32.47 / $47.59	Professional	TC	$23.45	$32.47	$47.59