Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $64.91 / $87.08	Professional		$48.07	$64.91	$87.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.32 / $39.15 / $48.75	Professional	26	$28.32	$39.15	$48.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.75 / $25.47 / $38.32	Professional	TC	$19.75	$25.47	$38.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $44.25 / $60.69	Professional		$25.91	$44.25	$60.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $69.93 / $108.52	Professional		$49.91	$69.93	$108.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.10 / $42.26 / $67.98	Professional	26	$30.10	$42.26	$67.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $28.47 / $43.14	Professional	TC	$19.80	$28.47	$43.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.86 / $88.56	Professional		$32.34	$51.86	$88.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $70.39 / $112.24	Professional		$50.01	$70.39	$112.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $30.13 / $44.09 / $67.98	Professional	26	$30.13	$44.09	$67.98
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.88 / $28.47 / $43.14	Professional	TC	$19.88	$28.47	$43.14
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $75.98 / $107.40	Professional		$52.82	$75.98	$107.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.99 / $49.48 / $64.20	Professional	26	$32.99	$49.48	$64.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.75 / $30.23 / $43.19	Professional	TC	$19.75	$30.23	$43.19