Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.07 / $20.07 / $42.71	Facility	26	$20.07	$20.07	$42.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $116.94 / $234.94	Professional		$97.57	$116.94	$234.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $26.22 / $41.22	Professional	26	$20.07	$26.22	$41.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $90.71 / $193.71	Professional	TC	$73.93	$90.71	$193.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $88.77 / $196.77	Professional		$24.95	$88.77	$196.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $140.86 / $200.73	Professional		$107.29	$140.86	$200.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $35.33 / $49.54	Professional	26	$23.25	$35.33	$49.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.28 / $107.26 / $159.75	Professional	TC	$84.28	$107.26	$159.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.97 / $150.68	Professional		$32.34	$32.97	$150.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $174.46 / $293.30	Professional		$112.00	$174.46	$293.30
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $35.33 / $48.82	Professional	26	$23.25	$35.33	$48.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $81.92 / $107.26 / $146.41	Professional	TC	$81.92	$107.26	$146.41
United Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $122.34 / $252.90	Professional		$105.68	$122.34	$252.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $28.15 / $62.41	Professional	26	$26.30	$28.15	$62.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.26 / $98.40 / $183.67	Professional	TC	$78.26	$98.40	$183.67