Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.64 / $65.73 / $157.25	Facility	26	$35.64	$65.73	$157.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $179.46 / $701.00	Professional		$118.33	$179.46	$701.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.90 / $49.30 / $177.60	Professional	26	$39.90	$49.30	$177.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.69 / $120.78 / $296.19	Professional	TC	$82.69	$120.78	$296.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $108.77 / $200.04	Professional		$33.78	$108.77	$200.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $202.19 / $272.60	Professional		$136.38	$202.19	$272.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.22 / $60.35 / $88.23	Professional	26	$41.22	$60.35	$88.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.12 / $141.85 / $202.56	Professional	TC	$95.12	$141.85	$202.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.90	Professional		$32.34	$32.34	$185.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.53 / $254.98 / $363.57	Professional		$155.53	$254.98	$363.57
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $62.12 / $86.02	Professional	26	$41.27	$62.12	$86.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $95.12 / $143.30 / $202.56	Professional	TC	$95.12	$143.30	$202.56
United Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $198.86 / $376.83	Professional		$178.28	$198.86	$376.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.58 / $56.38 / $109.02	Professional	26	$51.58	$56.38	$109.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.87 / $134.49 / $267.81	Professional	TC	$126.87	$134.49	$267.81