Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.16 / $24.16 / $50.60	Facility	26	$24.16	$24.16	$50.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $155.24 / $422.00	Professional		$118.48	$155.24	$422.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.09 / $33.97 / $169.00	Professional	26	$26.09	$33.97	$169.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.47 / $107.91 / $187.80	Professional	TC	$79.47	$107.91	$187.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $84.46 / $228.52	Professional		$23.08	$84.46	$228.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $189.38 / $255.95	Professional		$122.47	$189.38	$255.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.36 / $43.56 / $59.25	Professional	26	$28.36	$43.56	$59.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.92 / $144.16 / $215.31	Professional	TC	$92.92	$144.16	$215.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.37 / $224.36	Professional		$32.34	$45.37	$224.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $216.44 / $420.85	Professional		$138.24	$216.44	$420.85
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.36 / $46.96 / $59.25	Professional	26	$28.36	$46.96	$59.25
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $94.20 / $144.97 / $210.84	Professional	TC	$94.20	$144.97	$210.84
United Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $159.88 / $311.77	Professional		$138.60	$159.88	$311.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.29 / $37.11 / $76.62	Professional	26	$34.29	$37.11	$76.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.02 / $125.59 / $244.90	Professional	TC	$94.02	$125.59	$244.90