Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.31 / $90.31 / $90.31	Facility	26	$90.31	$90.31	$90.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.48 / $709.48 / $709.48	Professional		$709.48	$709.48	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $257.12 / $257.12 / $257.12	Professional	26	$257.12	$257.12	$257.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $452.37 / $452.37 / $452.37	Professional	TC	$452.37	$452.37	$452.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $82.24 / $143.53	Professional		$36.45	$82.24	$143.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.60 / $136.34	Professional		$32.34	$52.60	$136.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $140.78 / $327.37	Professional		$140.78	$140.78	$327.37
United Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $157.27 / $242.79	Professional		$105.83	$157.27	$242.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $37.45 / $90.07	Professional	26	$34.46	$37.45	$90.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.56 / $121.09 / $184.32	Professional	TC	$66.56	$121.09	$184.32