Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $30.65 / $40.35	Professional		$23.71	$30.65	$40.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.60 / $23.78 / $32.32	Professional	26	$19.60	$23.78	$32.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.86 / $15.33 / $20.18	Professional	52	$11.86	$15.33	$20.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.42 / $4.42 / $6.17	Professional	TC	$3.42	$4.42	$6.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $22.85 / $34.93	Professional		$17.41	$22.85	$34.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $49.98 / $69.54	Professional		$27.13	$49.98	$69.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $23.47 / $31.73	Professional	26	$16.72	$23.47	$31.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.33 / $29.38 / $42.79	Professional	TC	$3.33	$29.38	$42.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $34.85 / $70.00	Professional		$5.93	$34.85	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $49.98 / $69.54	Professional		$29.42	$49.98	$69.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $23.47 / $31.73	Professional	26	$16.72	$23.47	$31.73
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $3.66 / $30.75 / $42.79	Professional	TC	$3.66	$30.75	$42.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $49.82 / $78.72	Professional		$30.24	$49.82	$78.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $25.92 / $39.50	Professional	26	$17.48	$25.92	$39.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.32 / $20.72 / $56.64	Professional	TC	$4.32	$20.72	$56.64