Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.41 / $10.41 / $24.29	Facility	26	$10.41	$10.41	$24.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $120.32 / $184.58	Professional		$79.80	$120.32	$184.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $14.23 / $19.43	Professional	26	$10.41	$14.23	$19.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.40 / $106.09 / $166.62	Professional	TC	$69.40	$106.09	$166.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $32.82 / $116.89	Professional		$8.43	$32.82	$116.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $180.17 / $255.24	Professional		$99.36	$180.17	$255.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $15.69 / $21.32	Professional	26	$10.32	$15.69	$21.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.94 / $159.79 / $241.39	Professional	TC	$86.94	$159.79	$241.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $32.34 / $127.01	Professional		$14.44	$32.34	$127.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $198.86 / $271.49	Professional		$120.63	$198.86	$271.49
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.66 / $16.45 / $21.32	Professional	26	$10.66	$16.45	$21.32
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $159.79 / $241.39	Professional	TC	$89.13	$159.79	$241.39
United Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $144.69 / $266.08	Professional		$98.78	$144.69	$266.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $10.74 / $27.66	Professional	26	$9.99	$10.74	$27.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.04 / $133.97 / $249.68	Professional	TC	$88.04	$133.97	$249.68