Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.90 / $23.90 / $49.45	Facility	26	$23.90	$23.90	$49.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $90.47 / $247.19	Professional		$56.03	$90.47	$247.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.90 / $34.79 / $85.08	Professional	26	$23.90	$34.79	$85.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.13 / $50.91 / $162.10	Professional	TC	$32.13	$50.91	$162.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $56.84 / $129.88	Professional		$29.63	$56.84	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $105.03 / $146.46	Professional		$67.68	$105.03	$146.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.01 / $41.75 / $58.50	Professional	26	$28.01	$41.75	$58.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.24 / $61.52 / $91.09	Professional	TC	$39.24	$61.52	$91.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.76 / $97.76	Professional		$32.34	$39.76	$97.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $131.12 / $188.27	Professional		$69.64	$131.12	$188.27
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.01 / $45.09 / $56.78	Professional	26	$28.01	$45.09	$56.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $39.24 / $63.99 / $91.09	Professional	TC	$39.24	$63.99	$91.09
United Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $101.41 / $199.51	Professional		$83.67	$101.41	$199.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.18 / $36.81 / $71.78	Professional	26	$33.18	$36.81	$71.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.49 / $64.59 / $148.54	Professional	TC	$50.49	$64.59	$148.54