Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.08 / $77.45 / $88.66	Facility	26	$42.08	$77.45	$88.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $192.97 / $990.00	Professional		$162.22	$192.97	$990.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $60.07 / $309.00	Professional	26	$51.54	$60.07	$309.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.77 / $125.34 / $225.86	Professional	TC	$86.77	$125.34	$225.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $120.36 / $215.77	Professional		$52.25	$120.36	$215.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.74 / $243.10 / $314.10	Professional		$225.74	$243.10	$314.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.95 / $82.14 / $107.85	Professional	26	$63.95	$82.14	$107.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.47 / $168.46 / $206.25	Professional	TC	$149.47	$168.46	$206.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $86.03 / $259.41	Professional		$32.34	$86.03	$259.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $269.14 / $320.22	Professional		$199.69	$269.14	$320.22
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.95 / $90.94 / $107.85	Professional	26	$63.95	$90.94	$107.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $149.47 / $178.21 / $206.25	Professional	TC	$149.47	$178.21	$206.25
United Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $176.96 / $356.09	Professional		$153.63	$176.96	$356.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $52.73 / $117.53	Professional	26	$49.60	$52.73	$117.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.10 / $128.52 / $275.70	Professional	TC	$103.10	$128.52	$275.70