Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.40 / $2.40 / $2.40	Facility	26	$2.40	$2.40	$2.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $16.77 / $27.19	Professional		$13.59	$16.77	$27.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.42 / $3.46 / $5.61	Professional	26	$2.42	$3.46	$5.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.10 / $13.39 / $22.90	Professional	TC	$11.10	$13.39	$22.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $10.27 / $20.35	Professional		$1.96	$10.27	$20.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $27.74 / $40.63	Professional		$17.05	$27.74	$40.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.52 / $6.32 / $9.34	Professional	26	$3.52	$6.32	$9.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.97 / $21.36 / $30.87	Professional	TC	$13.97	$21.36	$30.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $22.36 / $32.34	Professional		$5.65	$22.36	$32.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $30.07 / $44.91	Professional		$17.41	$30.07	$44.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $3.52 / $6.43 / $9.96	Professional	26	$3.52	$6.43	$9.96
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $13.97 / $21.28 / $32.81	Professional	TC	$13.97	$21.28	$32.81
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $32.14 / $46.00	Professional		$21.70	$32.14	$46.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.50 / $7.28 / $9.61	Professional	26	$4.50	$7.28	$9.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $25.00 / $40.51	Professional	TC	$17.60	$25.00	$40.51