Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.00 / $64.91 / $64.91	Facility	26	$34.00	$64.91	$64.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $72.09 / $143.91	Professional		$65.54	$72.09	$143.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.00 / $47.02 / $114.85	Professional	26	$34.00	$47.02	$114.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $32.96 / $68.63	Professional	TC	$23.28	$32.96	$68.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $57.42 / $105.78	Professional		$37.85	$57.42	$105.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $91.29 / $143.09	Professional		$64.73	$91.29	$143.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.79 / $59.12 / $86.84	Professional	26	$43.79	$59.12	$86.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.05 / $32.52 / $60.53	Professional	TC	$23.05	$32.52	$60.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.31 / $110.06	Professional		$32.34	$52.31	$110.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $101.69 / $202.53	Professional		$74.02	$101.69	$202.53
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.79 / $58.71 / $78.89	Professional	26	$43.79	$58.71	$78.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.05 / $32.52 / $53.18	Professional	TC	$23.05	$32.52	$53.18
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $106.09 / $143.78	Professional		$82.58	$106.09	$143.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.80 / $62.88 / $85.86	Professional	26	$48.80	$62.88	$85.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.47 / $38.34 / $59.15	Professional	TC	$29.47	$38.34	$59.15