Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $113.30 / $138.27	Professional		$77.42	$113.30	$138.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.19 / $19.50 / $24.46	Professional	26	$14.19	$19.50	$24.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $93.80 / $113.81	Professional	TC	$60.10	$93.80	$113.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $45.03 / $137.13	Professional		$18.04	$45.03	$137.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $103.42 / $162.77	Professional		$79.45	$103.42	$162.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $24.46 / $34.95	Professional	26	$16.73	$24.46	$34.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.54 / $81.80 / $134.78	Professional	TC	$59.54	$81.80	$134.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $32.34 / $130.84	Professional		$22.86	$32.34	$130.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $139.09 / $258.93	Professional		$84.95	$139.09	$258.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $25.24 / $34.95	Professional	26	$16.75	$25.24	$34.95
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $55.06 / $81.29 / $134.78	Professional	TC	$55.06	$81.29	$134.78
United Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $110.43 / $215.34	Professional		$73.93	$110.43	$215.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $19.48 / $46.99	Professional	26	$18.55	$19.48	$46.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.48 / $90.94 / $177.33	Professional	TC	$55.48	$90.94	$177.33