Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.78 / $27.78 / $27.78	Facility	26	$27.78	$27.78	$27.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $86.75 / $180.38	Professional		$64.31	$86.75	$180.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.78 / $32.65 / $52.84	Professional	26	$27.78	$32.65	$52.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $58.97 / $80.55	Professional	TC	$33.03	$58.97	$80.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $49.43 / $121.07	Professional		$31.71	$49.43	$121.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $104.96 / $188.81	Professional		$69.00	$104.96	$188.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $49.17 / $70.73	Professional	26	$36.90	$49.17	$70.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.64 / $50.38 / $128.82	Professional	TC	$29.64	$50.38	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.37 / $142.60	Professional		$32.34	$48.37	$142.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $110.21 / $233.50	Professional		$71.86	$110.21	$233.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $47.63 / $61.72	Professional	26	$36.90	$47.63	$61.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $29.64 / $45.94 / $114.63	Professional	TC	$29.64	$45.94	$114.63
United Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $114.01 / $187.20	Professional		$70.64	$114.01	$187.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.24 / $55.44 / $78.20	Professional	26	$42.24	$55.44	$78.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.13 / $57.78 / $117.53	Professional	TC	$29.13	$57.78	$117.53