Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.14 / $17.14 / $17.14	Facility	26	$17.14	$17.14	$17.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $44.95 / $90.74	Professional		$29.85	$44.95	$90.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $21.89 / $37.96	Professional	26	$17.14	$21.89	$37.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $27.81 / $57.94	Professional	TC	$10.31	$27.81	$57.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $35.56 / $62.73	Professional		$19.28	$35.56	$62.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $48.25 / $94.91	Professional		$34.24	$48.25	$94.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.44 / $28.61 / $43.08	Professional	26	$20.44	$28.61	$43.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.77 / $15.92 / $50.38	Professional	TC	$10.77	$15.92	$50.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $32.34 / $73.23	Professional		$29.41	$32.34	$73.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $55.03 / $130.47	Professional		$34.28	$55.03	$130.47
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $20.44 / $28.00 / $37.81	Professional	26	$20.44	$28.00	$37.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $10.30 / $14.99 / $40.97	Professional	TC	$10.30	$14.99	$40.97
United Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $53.32 / $81.84	Professional		$40.47	$53.32	$81.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $31.20 / $42.48	Professional	26	$24.50	$31.20	$42.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.65 / $19.50 / $42.47	Professional	TC	$13.65	$19.50	$42.47