Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $11.22 / $66.07	Facility	26	$10.23	$11.22	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $131.83	Professional		$19.95	$34.67	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $7.94 / $30.20	Professional	26	$5.01	$7.94	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $21.38 / $54.95	Professional	TC	$14.13	$21.38	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $16.98 / $33.11	Professional		$5.13	$16.98	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $47.86	Professional		$26.30	$37.15	$47.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.00 / $13.18	Professional	26	$7.41	$10.00	$13.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $27.54 / $34.67	Professional	TC	$18.62	$27.54	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $33.88	Professional		$12.30	$32.36	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $58.88	Professional		$28.18	$41.69	$58.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.47 / $13.49	Professional	26	$7.24	$10.47	$13.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $27.54 / $33.88	Professional	TC	$19.50	$27.54	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $69.18	Professional		$27.54	$45.71	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.48 / $14.79	Professional	26	$7.59	$11.48	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $33.88 / $53.70	Professional	TC	$19.50	$33.88	$53.70