Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.81 / $85.58 / $300.05	Facility	26	$41.81	$85.58	$300.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $247.93 / $418.76	Professional		$117.61	$247.93	$418.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $51.92 / $146.44	Professional	26	$44.14	$51.92	$146.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.79 / $177.61 / $221.14	Professional	TC	$75.79	$177.61	$221.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $91.55 / $192.34	Professional		$33.78	$91.55	$192.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $278.74 / $419.78	Professional		$133.34	$278.74	$419.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $65.31 / $91.76	Professional	26	$41.27	$65.31	$91.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.67 / $219.83 / $328.01	Professional	TC	$83.67	$219.83	$328.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.77 / $155.25	Professional		$32.34	$57.77	$155.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $309.88 / $392.98	Professional		$174.87	$309.88	$392.98
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.01 / $68.73 / $86.02	Professional	26	$43.01	$68.73	$86.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $91.93 / $219.83 / $328.01	Professional	TC	$91.93	$219.83	$328.01
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $242.19 / $417.14	Professional		$134.36	$242.19	$417.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $50.28 / $111.38	Professional	26	$43.32	$50.28	$111.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $191.91 / $327.61	Professional	TC	$90.80	$191.91	$327.61