Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.44 / $25.43 / $29.11	Facility	26	$13.44	$25.43	$29.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $116.53 / $218.39	Professional		$76.31	$116.53	$218.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $17.67 / $41.91	Professional	26	$13.44	$17.67	$41.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $98.85 / $148.97	Professional	TC	$62.86	$98.85	$148.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $62.57 / $115.10	Professional		$12.93	$62.57	$115.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $136.60 / $203.24	Professional		$85.08	$136.60	$203.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.31 / $24.87 / $33.27	Professional	26	$15.31	$24.87	$33.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $110.30 / $165.40	Professional	TC	$69.04	$110.30	$165.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $32.34 / $113.59	Professional		$22.53	$32.34	$113.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $158.90 / $229.90	Professional		$87.67	$158.90	$229.90
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $25.81 / $35.10	Professional	26	$16.64	$25.81	$35.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $70.97 / $110.30 / $176.88	Professional	TC	$70.97	$110.30	$176.88
United Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $103.87 / $192.40	Professional		$95.51	$103.87	$192.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.86 / $19.13 / $42.66	Professional	26	$17.86	$19.13	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.70 / $95.47 / $175.58	Professional	TC	$77.70	$95.47	$175.58