Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.23 / $96.41 / $110.36	Facility	26	$47.23	$96.41	$110.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $241.51 / $285.94	Professional		$134.65	$241.51	$285.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.23 / $56.66 / $247.77	Professional	26	$47.23	$56.66	$247.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.43 / $184.15 / $226.00	Professional	TC	$87.43	$184.15	$226.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $104.61 / $194.63	Professional		$44.76	$104.61	$194.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $290.55 / $429.45	Professional		$146.01	$290.55	$429.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.86 / $71.90 / $102.63	Professional	26	$46.86	$71.90	$102.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.54 / $219.09 / $326.82	Professional	TC	$93.54	$219.09	$326.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.64 / $177.74	Professional		$32.34	$65.64	$177.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.66 / $294.99 / $418.81	Professional		$196.66	$294.99	$418.81
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $48.45 / $74.73 / $96.90	Professional	26	$48.45	$74.73	$96.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $93.54 / $219.09 / $326.82	Professional	TC	$93.54	$219.09	$326.82
United Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $245.76 / $509.55	Professional		$140.80	$245.76	$509.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $52.93 / $129.60	Professional	26	$46.39	$52.93	$129.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.72 / $190.99 / $273.51	Professional	TC	$91.72	$190.99	$273.51