Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $91.20 / $97.72	Facility	26	$74.13	$91.20	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $602.56	Professional		$120.23	$208.93	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $229.09	Professional	26	$50.12	$83.18	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $162.18 / $416.87	Professional	TC	$102.33	$162.18	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $117.49 / $213.80	Professional		$45.71	$117.49	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $331.13 / $512.86	Professional		$162.18	$331.13	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $72.44 / $107.15	Professional	26	$45.71	$72.44	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $257.04 / $398.11	Professional	TC	$109.65	$257.04	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $512.86	Professional		$213.80	$346.74	$512.86
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $107.15	Professional	26	$51.29	$74.13	$107.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $269.15 / $398.11	Professional	TC	$131.83	$269.15	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $467.74	Professional		$165.96	$275.42	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $50.12 / $112.20	Professional	26	$47.86	$50.12	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $229.09 / $363.08	Professional	TC	$117.49	$229.09	$363.08