Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.16 / $15.16 / $31.93	Facility	26	$15.16	$15.16	$31.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $83.82 / $181.00	Professional		$73.31	$83.82	$181.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $20.17 / $44.32	Professional	26	$15.16	$20.17	$44.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $64.56 / $144.33	Professional	TC	$55.57	$64.56	$144.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $67.14 / $147.62	Professional		$16.57	$67.14	$147.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $103.44 / $146.72	Professional		$80.31	$103.44	$146.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $25.31 / $37.00	Professional	26	$17.37	$25.31	$37.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.58 / $76.18 / $117.63	Professional	TC	$62.58	$76.18	$117.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $32.34 / $114.67	Professional		$24.71	$32.34	$114.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $133.93 / $217.68	Professional		$83.90	$133.93	$217.68
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.35 / $37.00	Professional	26	$17.38	$26.35	$37.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $60.86 / $76.18 / $107.71	Professional	TC	$60.86	$76.18	$107.71
United Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $101.71 / $204.31	Professional		$79.45	$101.71	$204.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $21.99 / $45.81	Professional	26	$19.73	$21.99	$45.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.53 / $73.26 / $142.86	Professional	TC	$57.53	$73.26	$142.86