Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.24 / $126.12 / $144.38	Facility	26	$61.24	$126.12	$144.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $163.03 / $307.52	Professional		$124.53	$163.03	$307.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $61.24 / $243.17	Professional	26	$52.54	$61.24	$243.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.29 / $110.48 / $119.76	Professional	TC	$63.29	$110.48	$119.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $103.55 / $204.08	Professional		$49.65	$103.55	$204.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $220.30 / $285.42	Professional		$122.80	$220.30	$285.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.75 / $78.81 / $115.89	Professional	26	$58.75	$78.81	$115.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.02 / $121.84 / $224.39	Professional	TC	$60.02	$121.84	$224.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.48 / $162.69	Professional		$32.34	$82.48	$162.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $232.08 / $330.73	Professional		$138.47	$232.08	$330.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $60.48 / $78.81 / $115.89	Professional	26	$60.48	$78.81	$115.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $62.50 / $121.84 / $160.75	Professional	TC	$62.50	$121.84	$160.75
United Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $170.45 / $316.80	Professional		$126.03	$170.45	$316.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.35 / $64.42 / $147.79	Professional	26	$47.35	$64.42	$147.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.26 / $119.87 / $177.48	Professional	TC	$66.26	$119.87	$177.48