Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $45.71 / $58.88	Facility	26	$41.69	$45.71	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $489.78	Professional		$85.11	$128.82	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $43.65 / $134.90	Professional	26	$25.70	$43.65	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $85.11 / $407.38	Professional	TC	$57.54	$85.11	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $72.44 / $120.23	Professional		$22.91	$72.44	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $204.17	Professional		$89.13	$138.04	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $40.74 / $57.54	Professional	26	$27.54	$40.74	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $95.50 / $147.91	Professional	TC	$61.66	$95.50	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $245.47	Professional		$91.20	$181.97	$245.47
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $42.66 / $57.54	Professional	26	$28.84	$42.66	$57.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $104.71 / $151.36	Professional	TC	$61.66	$104.71	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $218.78	Professional		$112.20	$125.89	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $36.31 / $67.61	Professional	26	$33.11	$36.31	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $89.13 / $147.91	Professional	TC	$75.86	$89.13	$147.91