Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.62 / $38.36 / $43.93	Facility	26	$20.62	$38.36	$43.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $104.50 / $283.36	Professional		$47.67	$104.50	$283.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.27 / $29.52 / $132.00	Professional	26	$22.27	$29.52	$132.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $75.81 / $94.41	Professional	TC	$22.46	$75.81	$94.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $41.45 / $74.31	Professional		$19.55	$41.45	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $118.11 / $182.53	Professional		$51.46	$118.11	$182.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.13 / $36.25 / $50.20	Professional	26	$24.13	$36.25	$50.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $86.40 / $133.53	Professional	TC	$26.32	$86.40	$133.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.95 / $74.55	Professional		$32.34	$34.95	$74.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $118.11 / $182.53	Professional		$56.20	$118.11	$182.53
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.62 / $38.54 / $50.20	Professional	26	$24.62	$38.54	$50.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.22 / $90.33 / $133.53	Professional	TC	$26.22	$90.33	$133.53
United Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $109.65 / $151.59	Professional		$59.91	$109.65	$151.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.22 / $30.30 / $59.85	Professional	26	$29.22	$30.30	$59.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.32 / $73.80 / $118.72	Professional	TC	$30.32	$73.80	$118.72