Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $44.67	Professional		$19.95	$25.12	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $25.70	Professional	26	$15.85	$19.95	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $24.55	Professional	TC	$3.02	$3.98	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $53.70	Professional		$14.79	$19.50	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $81.28	Professional		$23.44	$44.67	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.99 / $37.15	Professional	26	$16.60	$23.99	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $23.99 / $43.65	Professional	TC	$3.98	$23.99	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $33.11 / $79.43	Professional		$5.89	$33.11	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $81.28	Professional		$23.44	$44.67	$81.28
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.99 / $37.15	Professional	26	$16.60	$23.99	$37.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $23.99 / $43.65	Professional	TC	$3.98	$23.99	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $81.28	Professional		$25.70	$48.98	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.30 / $36.31	Professional	26	$19.50	$26.30	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $21.38 / $52.48	Professional	TC	$4.37	$21.38	$52.48