Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $53.70 / $67.61	Facility	26	$46.77	$53.70	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $436.52	Professional		$67.61	$100.00	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $51.29 / $186.21	Professional	26	$30.20	$51.29	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $53.70 / $151.36	Professional	TC	$37.15	$53.70	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $58.88 / $120.23	Professional		$25.70	$58.88	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $151.36	Professional		$70.79	$104.71	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $45.71 / $64.57	Professional	26	$30.90	$45.71	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $61.66 / $87.10	Professional	TC	$39.81	$61.66	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $194.98	Professional		$72.44	$134.90	$194.98
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $47.86 / $64.57	Professional	26	$32.36	$47.86	$64.57
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $64.57 / $87.10	Professional	TC	$39.81	$64.57	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $173.78	Professional		$89.13	$102.33	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $40.74 / $75.86	Professional	26	$38.02	$40.74	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $58.88 / $100.00	Professional	TC	$48.98	$58.88	$100.00