Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $49.06 / $71.23	Professional		$35.34	$49.06	$71.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.13 / $27.68	Professional	26	$15.85	$22.13	$27.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $27.05 / $38.32	Professional	TC	$19.48	$27.05	$38.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $32.45 / $42.72	Professional		$14.56	$32.45	$42.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $74.67 / $120.12	Professional		$43.50	$74.67	$120.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $25.05 / $40.29	Professional	26	$17.42	$25.05	$40.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.14 / $49.62 / $79.83	Professional	TC	$24.14	$49.62	$79.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $35.81 / $64.95	Professional		$29.14	$35.81	$64.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $74.67 / $120.12	Professional		$51.36	$74.67	$120.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $26.14 / $40.29	Professional	26	$17.42	$26.14	$40.29
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.47 / $49.62 / $79.83	Professional	TC	$28.47	$49.62	$79.83
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $75.84 / $110.70	Professional		$41.11	$75.84	$110.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $29.88 / $38.42	Professional	26	$20.74	$29.88	$38.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.28 / $46.00 / $68.59	Professional	TC	$26.28	$46.00	$68.59