Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.56 / $52.68 / $60.31	Facility	26	$28.56	$52.68	$60.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $123.53 / $557.14	Professional		$93.90	$123.53	$557.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.56 / $39.72 / $153.68	Professional	26	$28.56	$39.72	$153.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.34 / $85.21 / $155.88	Professional	TC	$65.34	$85.21	$155.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $84.13 / $144.22	Professional		$27.24	$84.13	$144.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $140.30 / $208.95	Professional		$104.44	$140.30	$208.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $44.47 / $63.73	Professional	26	$33.27	$44.47	$63.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.31 / $96.00 / $145.22	Professional	TC	$70.31	$96.00	$145.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.06 / $141.87	Professional		$32.34	$47.06	$141.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.22 / $183.21 / $280.31	Professional		$108.22	$183.21	$280.31
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $47.89 / $63.73	Professional	26	$33.27	$47.89	$63.73
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $69.14 / $103.21 / $145.22	Professional	TC	$69.14	$103.21	$145.22
United Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $122.34 / $271.76	Professional		$103.36	$122.34	$271.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $41.50 / $80.93	Professional	26	$33.68	$41.50	$80.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.92 / $82.71 / $180.44	Professional	TC	$69.92	$82.71	$180.44