Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.93 / $35.93 / $79.73	Facility	26	$35.93	$35.93	$79.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $105.29 / $236.17	Professional		$95.59	$105.29	$236.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $44.34 / $218.00	Professional	26	$40.96	$44.34	$218.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.94 / $54.64 / $116.69	Professional	TC	$45.94	$54.64	$116.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $84.09 / $164.89	Professional		$46.71	$84.09	$164.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $159.91 / $263.02	Professional		$118.73	$159.91	$263.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.82 / $72.20 / $88.31	Professional	26	$49.82	$72.20	$88.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.17 / $79.66 / $205.41	Professional	TC	$65.17	$79.66	$205.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.13 / $107.03	Professional		$32.34	$40.13	$107.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $156.16 / $199.40	Professional		$118.73	$156.16	$199.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.57 / $72.20 / $88.31	Professional	26	$53.57	$72.20	$88.31
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $65.17 / $79.33 / $115.26	Professional	TC	$65.17	$79.33	$115.26
United Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $154.19 / $210.93	Professional		$120.90	$154.19	$210.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $63.84 / $102.04	Professional	26	$56.84	$63.84	$102.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.49 / $86.56 / $133.01	Professional	TC	$55.49	$86.56	$133.01