Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.84 / $19.84 / $42.29	Facility	26	$19.84	$19.84	$42.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $103.01 / $224.13	Professional		$74.03	$103.01	$224.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $25.71 / $57.57	Professional	26	$19.84	$25.71	$57.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.19 / $78.43 / $137.19	Professional	TC	$54.19	$78.43	$137.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $68.19 / $122.24	Professional		$23.31	$68.19	$122.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $128.61 / $188.95	Professional		$83.61	$128.61	$188.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.96 / $34.45 / $49.02	Professional	26	$22.96	$34.45	$49.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.24 / $94.16 / $139.24	Professional	TC	$61.24	$94.16	$139.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $32.34 / $116.08	Professional		$32.24	$32.34	$116.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $157.79 / $220.74	Professional		$91.73	$157.79	$220.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $34.90 / $48.33	Professional	26	$22.98	$34.90	$48.33
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $61.20 / $94.16 / $139.24	Professional	TC	$61.20	$94.16	$139.24
United Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $103.29 / $221.40	Professional		$96.52	$103.29	$221.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.16 / $28.51 / $60.84	Professional	26	$26.16	$28.51	$60.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.20 / $76.45 / $152.10	Professional	TC	$68.20	$76.45	$152.10