Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $34.97 / $49.38	Professional		$25.17	$34.97	$49.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $16.85 / $20.99	Professional	26	$12.12	$16.85	$20.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.05 / $18.13 / $25.82	Professional	TC	$13.05	$18.13	$25.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.16 / $260.61 / $271.97	Facility		$221.16	$260.61	$271.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $23.09 / $31.67	Professional		$11.21	$23.09	$31.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $53.70 / $86.39	Professional		$31.09	$53.70	$86.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.13 / $18.88 / $30.45	Professional	26	$13.13	$18.88	$30.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.20 / $34.82 / $56.02	Professional	TC	$16.20	$34.82	$56.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $28.52 / $46.21	Professional		$22.45	$28.52	$46.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $46.94 / $67.26	Facility		$31.08	$46.94	$67.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $53.70 / $86.39	Professional		$36.65	$53.70	$86.39
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.13 / $19.70 / $30.45	Professional	26	$13.13	$19.70	$30.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $34.82 / $56.02	Professional	TC	$19.32	$34.82	$56.02
United Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $53.20 / $77.75	Professional		$29.15	$53.20	$77.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $23.03 / $28.98	Professional	26	$16.55	$23.03	$28.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $31.54 / $49.39	Professional	TC	$17.64	$31.54	$49.39