Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.39 / $83.87 / $96.01	Facility	26	$43.39	$83.87	$96.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.66 / $151.90 / $719.13	Professional		$88.66	$151.90	$719.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $62.83 / $643.36	Professional	26	$53.67	$62.83	$643.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $83.90 / $188.92	Professional	TC	$67.40	$83.90	$188.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $86.99 / $166.65	Professional		$56.45	$86.99	$166.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $211.45 / $267.57	Professional		$170.07	$211.45	$267.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.36 / $87.55 / $113.39	Professional	26	$64.36	$87.55	$113.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.95 / $125.28 / $165.38	Professional	TC	$99.95	$125.28	$165.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.68 / $141.94	Professional		$32.34	$70.68	$141.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $207.04 / $267.57	Professional		$170.07	$207.04	$267.57
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $70.12 / $87.55 / $113.39	Professional	26	$70.12	$87.55	$113.39
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $99.95 / $121.67 / $154.18	Professional	TC	$99.95	$121.67	$154.18
United Facility/Professional Professional Modifier Low / Median / High Price $162.85 / $198.36 / $254.05	Professional		$162.85	$198.36	$254.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.42 / $78.50 / $122.46	Professional	26	$73.42	$78.50	$122.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.35 / $120.82 / $139.74	Professional	TC	$84.35	$120.82	$139.74