Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.92 / $68.08 / $77.94	Facility	26	$36.92	$68.08	$77.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $156.08 / $267.51	Professional		$109.45	$156.08	$267.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $50.59 / $146.91	Professional	26	$29.91	$50.59	$146.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $105.49 / $193.09	Professional	TC	$79.54	$105.49	$193.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $97.54 / $188.65	Professional		$34.97	$97.54	$188.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $191.33 / $283.62	Professional		$130.49	$191.33	$283.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $47.89 / $78.88	Professional	26	$36.54	$47.89	$78.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.18 / $142.94 / $214.31	Professional	TC	$89.18	$142.94	$214.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.83 / $175.98	Professional		$32.34	$59.83	$175.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.46 / $248.68 / $355.93	Professional		$139.46	$248.68	$355.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $47.89 / $71.18	Professional	26	$36.54	$47.89	$71.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $90.38 / $142.94 / $220.49	Professional	TC	$90.38	$142.94	$220.49
United Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $156.63 / $376.04	Professional		$133.38	$156.63	$376.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.44 / $53.05 / $102.09	Professional	26	$33.44	$53.05	$102.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.94 / $113.93 / $231.28	Professional	TC	$99.94	$113.93	$231.28