Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $69.18 / $87.10	Facility	26	$60.26	$69.18	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $588.84	Professional		$109.65	$162.18	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $74.13 / $204.17	Professional	26	$38.90	$74.13	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $100.00 / $251.19	Professional	TC	$67.61	$100.00	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $93.33 / $154.88	Professional		$33.88	$93.33	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $245.47	Professional		$114.82	$169.82	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $57.54 / $83.18	Professional	26	$39.81	$57.54	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $109.65 / $162.18	Professional	TC	$74.13	$109.65	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $316.23	Professional		$114.82	$213.80	$316.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $60.26 / $83.18	Professional	26	$41.69	$60.26	$83.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $120.23 / $165.96	Professional	TC	$74.13	$120.23	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $275.42	Professional		$141.25	$158.49	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $51.29 / $97.72	Professional	26	$47.86	$51.29	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $104.71 / $177.83	Professional	TC	$91.20	$104.71	$177.83