Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.43 / $92.82 / $106.25	Facility	26	$45.43	$92.82	$106.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $236.72 / $693.07	Professional		$120.64	$236.72	$693.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $54.56 / $195.07	Professional	26	$46.78	$54.56	$195.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.20 / $173.87 / $216.49	Professional	TC	$75.20	$173.87	$216.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $94.05 / $172.96	Professional		$36.94	$94.05	$172.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $268.68 / $398.28	Professional		$130.37	$268.68	$398.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.09 / $69.30 / $98.83	Professional	26	$45.09	$69.30	$98.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.62 / $206.88 / $302.07	Professional	TC	$80.62	$206.88	$302.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.19 / $159.52	Professional		$32.34	$63.19	$159.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.71 / $274.02 / $396.44	Professional		$179.71	$274.02	$396.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $46.65 / $71.94 / $93.30	Professional	26	$46.65	$71.94	$93.30
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $80.62 / $206.88 / $305.83	Professional	TC	$80.62	$206.88	$305.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $230.54 / $369.91	Professional		$125.47	$230.54	$369.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $55.58 / $134.00	Professional	26	$44.45	$55.58	$134.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.23 / $178.84 / $257.00	Professional	TC	$78.23	$178.84	$257.00