Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $45.71 / $48.98	Facility	26	$37.15	$45.71	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $467.74	Professional		$72.44	$125.89	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $36.31 / $107.15	Professional	26	$22.91	$36.31	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $89.13 / $281.84	Professional	TC	$42.66	$89.13	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $46.77 / $117.49	Professional		$19.50	$46.77	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $204.17	Professional		$87.10	$131.83	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $34.67 / $50.12	Professional	26	$21.88	$34.67	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $95.50 / $151.36	Professional	TC	$63.10	$95.50	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $257.04	Professional		$95.50	$169.82	$257.04
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $36.31 / $51.29	Professional	26	$25.70	$36.31	$51.29
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $104.71 / $151.36	Professional	TC	$66.07	$104.71	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $194.98	Professional		$77.62	$97.72	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $25.12 / $57.54	Professional	26	$23.44	$25.12	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $70.79 / $138.04	Professional	TC	$53.70	$70.79	$138.04