Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.78 / $39.53 / $39.53	Facility	26	$20.78	$39.53	$39.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $51.64 / $107.79	Professional		$43.79	$51.64	$107.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.78 / $28.87 / $64.14	Professional	26	$20.78	$28.87	$64.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $29.70 / $61.88	Professional	TC	$17.87	$29.70	$61.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $41.18 / $72.00	Professional		$23.34	$41.18	$72.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $66.27 / $107.13	Professional		$43.72	$66.27	$107.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.71 / $36.60 / $52.39	Professional	26	$26.71	$36.60	$52.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $25.80 / $54.44	Professional	TC	$17.73	$25.80	$54.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.61 / $82.57	Professional		$32.34	$35.61	$82.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $68.54 / $148.00	Professional		$49.17	$68.54	$148.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.71 / $36.20 / $48.30	Professional	26	$26.71	$36.20	$48.30
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $25.55 / $46.49	Professional	TC	$17.73	$25.55	$46.49
United Facility/Professional Professional Modifier Low / Median / High Price $57.62 / $73.70 / $94.81	Professional		$57.62	$73.70	$94.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.00 / $41.01 / $53.31	Professional	26	$30.00	$41.01	$53.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $31.34 / $47.12	Professional	TC	$23.03	$31.34	$47.12