Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.22 / $39.22 / $82.66	Facility	26	$39.22	$39.22	$82.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $216.19 / $363.48	Professional		$158.50	$216.19	$363.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $55.49 / $79.41	Professional	26	$39.22	$55.49	$79.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.28 / $166.97 / $284.06	Professional	TC	$119.28	$166.97	$284.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $141.15 / $310.35	Professional		$37.40	$141.15	$310.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.56 / $287.20 / $404.25	Professional		$193.56	$287.20	$404.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.67 / $68.95 / $100.73	Professional	26	$45.67	$68.95	$100.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.63 / $212.54 / $303.52	Professional	TC	$131.63	$212.54	$303.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $236.80	Professional		$32.34	$32.34	$236.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.53 / $354.46 / $511.75	Professional		$216.53	$354.46	$511.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.24 / $72.84 / $94.48	Professional	26	$47.24	$72.84	$94.48
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $134.68 / $212.54 / $303.52	Professional	TC	$134.68	$212.54	$303.52
United Facility/Professional Professional Modifier Low / Median / High Price $192.69 / $214.52 / $526.13	Professional		$192.69	$214.52	$526.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.11 / $62.72 / $124.83	Professional	26	$48.11	$62.72	$124.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.97 / $163.63 / $399.92	Professional	TC	$146.97	$163.63	$399.92