Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.27 / $34.27 / $73.95	Facility	26	$34.27	$34.27	$73.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $145.06 / $179.45	Professional		$72.34	$145.06	$179.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $32.34 / $67.92	Professional	26	$15.71	$32.34	$67.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.08 / $129.36 / $161.07	Professional	TC	$38.08	$129.36	$161.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $67.26 / $141.58	Professional		$20.04	$67.26	$141.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $190.02 / $350.94	Professional		$89.20	$190.02	$350.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.72 / $70.58	Professional	26	$19.50	$27.72	$70.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.20 / $160.66 / $331.44	Professional	TC	$48.20	$160.66	$331.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $56.62 / $111.74	Professional		$32.34	$56.62	$111.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $195.88 / $272.05	Professional		$117.88	$195.88	$272.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.72 / $67.34	Professional	26	$19.50	$27.72	$67.34
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $52.12 / $160.66 / $214.22	Professional	TC	$52.12	$160.66	$214.22
United Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $203.53 / $327.18	Professional		$109.71	$203.53	$327.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $40.29 / $97.11	Professional	26	$17.80	$40.29	$97.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.91 / $131.93 / $308.51	Professional	TC	$59.91	$131.93	$308.51