Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.97 / $24.97 / $52.90	Facility	26	$24.97	$24.97	$52.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $86.75 / $329.00	Professional		$63.29	$86.75	$329.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.97 / $34.47 / $50.42	Professional	26	$24.97	$34.47	$50.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.32 / $49.80 / $72.88	Professional	TC	$38.32	$49.80	$72.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $56.94 / $118.91	Professional		$23.68	$56.94	$118.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $105.49 / $142.59	Professional		$70.80	$105.49	$142.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $43.19 / $60.46	Professional	26	$28.84	$43.19	$60.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.13 / $59.91 / $79.45	Professional	TC	$42.13	$59.91	$79.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $96.42	Professional		$32.34	$32.34	$96.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $125.02 / $190.19	Professional		$76.02	$125.02	$190.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $44.10 / $60.46	Professional	26	$28.89	$44.10	$60.46
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $42.18 / $59.91 / $79.45	Professional	TC	$42.18	$59.91	$79.45
United Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $87.93 / $176.32	Professional		$78.83	$87.93	$176.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.70 / $37.53 / $78.20	Professional	26	$33.70	$37.53	$78.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.65 / $50.40 / $105.07	Professional	TC	$47.65	$50.40	$105.07