Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $45.71 / $288.40	Facility	26	$44.67	$45.71	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $128.82	Professional		$51.29	$70.79	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $33.11 / $69.18	Professional	26	$26.92	$33.11	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $38.02 / $70.79	Professional	TC	$19.05	$38.02	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $46.77 / $79.43	Professional		$21.88	$46.77	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $120.23	Professional		$51.29	$77.62	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $46.77 / $66.07	Professional	26	$33.88	$46.77	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $29.51 / $63.10	Professional	TC	$19.95	$29.51	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $131.83	Professional		$53.70	$77.62	$131.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $61.66	Professional	26	$33.88	$44.67	$61.66
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $27.54 / $51.29	Professional	TC	$19.50	$27.54	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $114.82	Professional		$61.66	$81.28	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.86 / $64.57	Professional	26	$33.88	$47.86	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $31.62 / $48.98	Professional	TC	$24.55	$31.62	$48.98