Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.59 / $36.51 / $41.80	Facility	26	$19.59	$36.51	$41.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $115.44 / $530.00	Professional		$79.73	$115.44	$530.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $33.43 / $117.04	Professional	26	$24.64	$33.43	$117.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.14 / $73.50 / $152.75	Professional	TC	$60.14	$73.50	$152.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $72.80 / $145.61	Professional		$23.24	$72.80	$145.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $121.41 / $166.54	Professional		$87.19	$121.41	$166.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.96 / $34.47 / $47.77	Professional	26	$22.96	$34.47	$47.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.12 / $84.29 / $123.59	Professional	TC	$65.12	$84.29	$123.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $37.48 / $133.86	Professional		$31.86	$37.48	$133.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $142.16 / $245.94	Professional		$95.40	$142.16	$245.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $23.43 / $36.24 / $47.77	Professional	26	$23.43	$36.24	$47.77
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $66.23 / $84.29 / $111.76	Professional	TC	$66.23	$84.29	$111.76
United Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $126.32 / $227.92	Professional		$111.09	$126.32	$227.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $30.30 / $56.23	Professional	26	$28.15	$30.30	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.79 / $95.47 / $177.39	Professional	TC	$80.79	$95.47	$177.39