Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.95 / $67.95 / $147.58	Facility	26	$67.95	$67.95	$147.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.05 / $243.78 / $299.29	Professional		$121.05	$243.78	$299.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $67.95 / $213.69	Professional	26	$56.82	$67.95	$213.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.10 / $186.96 / $232.83	Professional	TC	$53.10	$186.96	$232.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $114.68 / $211.31	Professional		$65.64	$114.68	$211.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $324.08 / $443.23	Professional		$149.72	$324.08	$443.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.72 / $91.65 / $148.38	Professional	26	$69.72	$91.65	$148.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.01 / $232.57 / $373.52	Professional	TC	$68.01	$232.57	$373.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $107.02 / $196.12	Professional		$32.34	$107.02	$196.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $337.05 / $446.56	Professional		$197.95	$337.05	$446.56
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.72 / $91.65 / $143.69	Professional	26	$69.72	$91.65	$143.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $70.05 / $232.57 / $329.47	Professional	TC	$70.05	$232.57	$329.47
United Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $321.35 / $493.45	Professional		$178.28	$321.35	$493.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.68 / $97.80 / $190.71	Professional	26	$63.68	$97.80	$190.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.48 / $194.00 / $348.45	Professional	TC	$80.48	$194.00	$348.45