Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.35 / $22.35 / $46.19	Facility	26	$22.35	$22.35	$46.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $77.64 / $145.99	Professional		$49.52	$77.64	$145.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.35 / $30.22 / $173.53	Professional	26	$22.35	$30.22	$173.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.76 / $40.02 / $193.05	Professional	52	$24.76	$40.02	$193.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.17 / $43.74 / $93.44	Professional	TC	$27.17	$43.74	$93.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $52.43 / $117.78	Professional		$26.39	$52.43	$117.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $93.90 / $128.49	Professional		$58.57	$93.90	$128.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.18 / $38.11 / $52.78	Professional	26	$26.18	$38.11	$52.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.42 / $54.48 / $78.62	Professional	TC	$31.42	$54.48	$78.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.89 / $83.71	Professional		$32.34	$41.89	$83.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $114.34 / $158.99	Professional		$60.10	$114.34	$158.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.18 / $40.11 / $52.78	Professional	26	$26.18	$40.11	$52.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $31.42 / $54.48 / $78.62	Professional	TC	$31.42	$54.48	$78.62
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $81.69 / $144.77	Professional		$67.84	$81.69	$144.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.77 / $31.76 / $62.48	Professional	26	$27.77	$31.76	$62.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $49.00 / $81.28	Professional	TC	$36.09	$49.00	$81.28