Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.02 / $27.02 / $57.15	Facility	26	$27.02	$27.02	$57.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $164.72 / $592.50	Professional		$111.60	$164.72	$592.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.02 / $38.01 / $186.00	Professional	26	$27.02	$38.01	$186.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.58 / $128.55 / $323.93	Professional	TC	$84.58	$128.55	$323.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $100.59 / $218.38	Professional		$25.59	$100.59	$218.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $186.83 / $256.52	Professional		$125.45	$186.83	$256.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.39 / $47.17 / $65.31	Professional	26	$31.39	$47.17	$65.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.42 / $141.59 / $191.70	Professional	TC	$93.42	$141.59	$191.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.25 / $183.99	Professional		$32.34	$51.25	$183.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $232.67 / $352.23	Professional		$128.80	$232.67	$352.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.03 / $50.26 / $65.31	Professional	26	$32.03	$50.26	$65.31
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $93.42 / $146.43 / $191.22	Professional	TC	$93.42	$146.43	$191.22
United Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $159.16 / $313.12	Professional		$144.63	$159.16	$313.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.71 / $39.34 / $77.39	Professional	26	$37.71	$39.34	$77.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.04 / $119.82 / $235.73	Professional	TC	$106.04	$119.82	$235.73