Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $72.33	Facility		$35.40	$35.40	$72.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.62 / $22.62 / $46.79	Facility	26	$22.62	$22.62	$46.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $82.23 / $158.29	Professional		$46.96	$82.23	$158.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.62 / $45.34 / $60.24	Professional	26	$22.62	$45.34	$60.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.79 / $36.89 / $50.14	Professional	TC	$12.79	$36.89	$50.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $508.46 / $871.96	Facility		$145.94	$508.46	$871.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $43.93 / $93.41	Professional		$28.05	$43.93	$93.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $102.80 / $151.97	Professional		$44.04	$102.80	$151.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.70 / $56.17 / $86.81	Professional	26	$27.70	$56.17	$86.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $44.07 / $65.44	Professional	TC	$16.22	$44.07	$65.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.36 / $87.74	Professional		$32.34	$36.36	$87.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.84 / $113.60 / $153.93	Facility		$43.84	$113.60	$153.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $105.53 / $154.01	Professional		$45.92	$105.53	$154.01
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $27.70 / $58.73 / $86.81	Professional	26	$27.70	$58.73	$86.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $44.07 / $65.44	Professional	TC	$16.22	$44.07	$65.44
United Facility/Professional Facility Modifier Low / Median / High Price $235.69 / $235.69 / $235.69	Facility		$235.69	$235.69	$235.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $92.42 / $139.91	Professional		$53.77	$92.42	$139.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $50.87 / $78.01	Professional	26	$32.11	$50.87	$78.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $42.20 / $75.25	Professional	TC	$21.65	$42.20	$75.25