Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.81 / $41.81 / $97.96	Facility	26	$41.81	$41.81	$97.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $241.76 / $418.76	Professional		$135.06	$241.76	$418.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $51.57 / $213.54	Professional	26	$43.82	$51.57	$213.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.24 / $201.03 / $303.82	Professional	TC	$93.24	$201.03	$303.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $113.17 / $194.01	Professional		$33.78	$113.17	$194.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.29 / $282.44 / $413.31	Professional		$159.29	$282.44	$413.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $65.41 / $93.07	Professional	26	$41.27	$65.41	$93.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.13 / $212.80 / $320.25	Professional	TC	$112.13	$212.80	$320.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.77 / $189.03	Professional		$32.34	$57.77	$189.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.78 / $309.88 / $435.19	Professional		$191.78	$309.88	$435.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.01 / $67.09 / $86.02	Professional	26	$43.01	$67.09	$86.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $112.13 / $212.80 / $320.25	Professional	TC	$112.13	$212.80	$320.25
United Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $229.31 / $455.68	Professional		$154.30	$229.31	$455.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $47.21 / $115.03	Professional	26	$43.56	$47.21	$115.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.74 / $184.89 / $324.89	Professional	TC	$110.74	$184.89	$324.89