Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $26.30 / $162.18	Facility	26	$25.12	$26.30	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $229.09	Professional		$42.66	$70.79	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.91 / $72.44	Professional	26	$15.14	$22.91	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $41.69 / $100.00	Professional	TC	$26.92	$41.69	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $34.67 / $66.07	Professional		$12.59	$34.67	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $100.00	Professional		$52.48	$75.86	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $24.55 / $32.36	Professional	26	$18.20	$24.55	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $50.12 / $69.18	Professional	TC	$33.88	$50.12	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $69.18	Professional		$30.20	$33.11	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $117.49	Professional		$57.54	$87.10	$117.49
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.70 / $33.11	Professional	26	$17.78	$25.70	$33.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $52.48 / $66.07	Professional	TC	$36.31	$52.48	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $138.04	Professional		$54.95	$95.50	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $28.18 / $37.15	Professional	26	$18.62	$28.18	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $63.10 / $100.00	Professional	TC	$35.48	$63.10	$100.00