Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.94 / $11.94 / $11.94	Facility	26	$11.94	$11.94	$11.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $54.64 / $100.94	Professional		$38.40	$54.64	$100.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.94 / $16.23 / $36.43	Professional	26	$11.94	$16.23	$36.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.45 / $39.60 / $55.13	Professional	TC	$26.45	$39.60	$55.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $30.24 / $79.70	Professional		$13.28	$30.24	$79.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $71.02 / $99.42	Professional		$47.55	$71.02	$99.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.10 / $21.35 / $30.49	Professional	26	$15.10	$21.35	$30.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.71 / $49.14 / $70.31	Professional	TC	$31.71	$49.14	$70.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $32.34 / $60.53	Professional		$20.26	$32.34	$60.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $73.62 / $136.77	Professional		$48.06	$73.62	$136.77
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $15.10 / $20.60 / $28.69	Professional	26	$15.10	$20.60	$28.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $30.57 / $46.12 / $68.75	Professional	TC	$30.57	$46.12	$68.75
United Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $80.30 / $106.58	Professional		$58.10	$80.30	$106.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.86 / $23.50 / $30.53	Professional	26	$17.86	$23.50	$30.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.29 / $55.62 / $74.95	Professional	TC	$44.29	$55.62	$74.95