Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.99 / $102.69 / $117.55	Facility	26	$49.99	$102.69	$117.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.33 / $249.83 / $725.00	Professional		$124.33	$249.83	$725.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.99 / $60.32 / $185.13	Professional	26	$49.99	$60.32	$185.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.34 / $172.62 / $214.94	Professional	TC	$74.34	$172.62	$214.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $96.73 / $178.30	Professional		$40.29	$96.73	$178.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $274.76 / $407.40	Professional		$134.12	$274.76	$407.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.22 / $76.31 / $109.04	Professional	26	$49.22	$76.31	$109.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.68 / $205.40 / $295.60	Professional	TC	$79.68	$205.40	$295.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $68.93 / $163.72	Professional		$32.34	$68.93	$163.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.56 / $281.39 / $403.44	Professional		$184.56	$281.39	$403.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.61 / $76.31 / $103.21	Professional	26	$51.61	$76.31	$103.21
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $79.68 / $205.40 / $303.64	Professional	TC	$79.68	$205.40	$303.64
United Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $232.37 / $378.91	Professional		$128.84	$232.37	$378.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $51.84 / $132.86	Professional	26	$48.64	$51.84	$132.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.00 / $176.65 / $254.11	Professional	TC	$77.00	$176.65	$254.11