Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.20 / $27.20 / $60.63	Facility	26	$27.20	$27.20	$60.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $200.87 / $958.00	Professional		$171.22	$200.87	$958.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $33.78 / $171.00	Professional	26	$30.35	$33.78	$171.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $165.17 / $663.83	Professional	TC	$140.87	$165.17	$663.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $161.30 / $326.05	Professional		$33.40	$161.30	$326.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.86 / $279.47 / $449.65	Professional		$200.86	$279.47	$449.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.94 / $53.49 / $67.16	Professional	26	$36.94	$53.49	$67.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.92 / $225.98 / $382.49	Professional	TC	$163.92	$225.98	$382.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.67 / $331.09	Professional		$32.34	$44.67	$331.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.86 / $279.47 / $437.78	Professional		$200.86	$279.47	$437.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $39.69 / $53.49 / $67.16	Professional	26	$39.69	$53.49	$67.16
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $167.66 / $225.98 / $382.47	Professional	TC	$167.66	$225.98	$382.47
United Facility/Professional Professional Modifier Low / Median / High Price $230.38 / $260.68 / $455.29	Professional		$230.38	$260.68	$455.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $44.19 / $75.31	Professional	26	$42.16	$44.19	$75.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.19 / $211.19 / $393.22	Professional	TC	$186.19	$211.19	$393.22