Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.19 / $49.93 / $57.16	Facility	26	$24.19	$49.93	$57.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $89.22 / $478.00	Professional		$66.52	$89.22	$478.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.19 / $28.26 / $132.00	Professional	26	$24.19	$28.26	$132.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $65.03 / $140.35	Professional	TC	$42.50	$65.03	$140.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $38.43 / $120.07	Professional		$19.55	$38.43	$120.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $142.51 / $204.00	Professional		$87.85	$142.51	$204.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.88 / $35.29 / $50.20	Professional	26	$23.88	$35.29	$50.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.98 / $102.73 / $152.97	Professional	TC	$63.98	$102.73	$152.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.89 / $119.64	Professional		$32.34	$33.89	$119.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $174.20 / $236.01	Professional		$96.60	$174.20	$236.01
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.10 / $38.00 / $50.20	Professional	26	$25.10	$38.00	$50.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $62.59 / $102.73 / $152.97	Professional	TC	$62.59	$102.73	$152.97
United Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $106.46 / $238.94	Professional		$76.95	$106.46	$238.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.60 / $25.15 / $63.21	Professional	26	$23.60	$25.15	$63.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.35 / $74.06 / $168.14	Professional	TC	$53.35	$74.06	$168.14