Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.78 / $5.78 / $5.78	Facility	26	$5.78	$5.78	$5.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $34.60 / $110.00	Professional		$22.95	$34.60	$110.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.78 / $8.50 / $32.00	Professional	26	$5.78	$8.50	$32.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.91 / $24.39 / $33.40	Professional	TC	$14.91	$24.39	$33.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $17.12 / $37.63	Professional		$5.93	$17.12	$37.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $39.03 / $48.12	Professional		$27.68	$39.03	$48.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $10.52 / $13.35	Professional	26	$7.98	$10.52	$13.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $27.83 / $34.52	Professional	TC	$19.70	$27.83	$34.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $32.34 / $36.29	Professional		$10.17	$32.34	$36.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $43.56 / $59.58	Professional		$28.41	$43.56	$59.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $10.73 / $13.10	Professional	26	$8.11	$10.73	$13.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $27.83 / $34.10	Professional	TC	$20.30	$27.83	$34.10
United Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $47.30 / $65.26	Professional		$33.00	$47.30	$65.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $11.74 / $16.57	Professional	26	$8.06	$11.74	$16.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $35.50 / $49.50	Professional	TC	$21.08	$35.50	$49.50