Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.98 / $76.98 / $170.95	Facility	26	$76.98	$76.98	$170.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $183.77 / $705.90	Professional		$151.22	$183.77	$705.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.92 / $101.16 / $474.04	Professional	26	$90.92	$101.16	$474.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.38 / $88.89 / $110.68	Professional	TC	$34.38	$88.89	$110.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $134.28 / $252.18	Professional		$99.74	$134.28	$252.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.95 / $277.69 / $694.67	Professional		$224.95	$277.69	$694.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.18 / $154.69 / $192.39	Professional	26	$109.18	$154.69	$192.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.61 / $124.31 / $567.42	Professional	TC	$47.61	$124.31	$567.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.25 / $165.59	Professional		$32.34	$42.25	$165.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.91 / $273.85 / $393.61	Professional		$203.91	$273.85	$393.61
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $119.08 / $154.69 / $192.39	Professional	26	$119.08	$154.69	$192.39
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $47.61 / $109.00 / $276.39	Professional	TC	$47.61	$109.00	$276.39
United Facility/Professional Professional Modifier Low / Median / High Price $170.98 / $289.92 / $442.74	Professional		$170.98	$289.92	$442.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $124.59 / $131.24 / $216.06	Professional	26	$124.59	$131.24	$216.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $111.38 / $319.13	Professional	TC	$32.47	$111.38	$319.13