Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.20 / $12.20 / $12.20	Facility	26	$12.20	$12.20	$12.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $38.65 / $78.58	Professional		$26.23	$38.65	$78.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $15.38 / $30.26	Professional	26	$12.20	$15.38	$30.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $26.45 / $55.13	Professional	TC	$12.47	$26.45	$55.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $24.10 / $51.90	Professional		$13.54	$24.10	$51.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $41.32 / $81.53	Professional		$28.98	$41.32	$81.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.41 / $20.18 / $30.84	Professional	26	$14.41	$20.18	$30.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.99 / $19.21 / $48.35	Professional	TC	$12.99	$19.21	$48.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $32.34 / $61.82	Professional		$20.66	$32.34	$61.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $47.15 / $111.00	Professional		$29.57	$47.15	$111.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.41 / $19.73 / $26.67	Professional	26	$14.41	$19.73	$26.67
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $12.43 / $18.07 / $39.32	Professional	TC	$12.43	$18.07	$39.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $45.60 / $74.09	Professional		$34.96	$45.60	$74.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $22.37 / $28.99	Professional	26	$17.47	$22.37	$28.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.30 / $21.47 / $42.00	Professional	TC	$15.30	$21.47	$42.00