Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $46.77 / $46.77	Facility	26	$44.67	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $229.09	Professional		$57.54	$77.62	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.90 / $61.66	Professional	26	$25.12	$30.90	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $45.71 / $102.33	Professional	TC	$32.36	$45.71	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $51.29 / $112.20	Professional		$22.39	$51.29	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $147.91	Professional		$63.10	$97.72	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $39.81 / $56.23	Professional	26	$26.92	$39.81	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $61.66 / $91.20	Professional	TC	$35.48	$61.66	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $173.78	Professional		$67.61	$125.89	$173.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $41.69 / $56.23	Professional	26	$28.18	$41.69	$56.23
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $64.57 / $93.33	Professional	TC	$36.31	$64.57	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $181.97	Professional		$83.18	$102.33	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $37.15 / $69.18	Professional	26	$33.11	$37.15	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $64.57 / $114.82	Professional	TC	$50.12	$64.57	$114.82