Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.97 / $20.97 / $44.83	Facility	26	$20.97	$20.97	$44.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $108.53 / $190.69	Professional		$90.73	$108.53	$190.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $26.99 / $42.69	Professional	26	$20.97	$26.99	$42.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $81.53 / $141.94	Professional	TC	$66.45	$81.53	$141.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $87.84 / $193.13	Professional		$20.26	$87.84	$193.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.93 / $135.40 / $204.42	Professional		$104.93	$135.40	$204.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.65 / $36.17 / $51.33	Professional	26	$24.65	$36.17	$51.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $96.45 / $161.25	Professional	TC	$79.23	$96.45	$161.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.22 / $146.85	Professional		$32.34	$34.22	$146.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $167.58 / $300.94	Professional		$110.14	$167.58	$300.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.65 / $36.99 / $51.22	Professional	26	$24.65	$36.99	$51.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $96.45 / $137.50	Professional	TC	$79.23	$96.45	$137.50
United Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $125.23 / $252.79	Professional		$95.58	$125.23	$252.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $30.32 / $73.80	Professional	26	$26.95	$30.32	$73.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.81 / $94.91 / $186.43	Professional	TC	$67.81	$94.91	$186.43