Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $79.43 / $100.00	Facility	26	$70.79	$79.43	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $489.78	Professional		$144.54	$190.55	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $77.62 / $288.40	Professional	26	$47.86	$77.62	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $128.82 / $346.74	Professional	TC	$95.50	$128.82	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $120.23 / $204.17	Professional		$39.81	$120.23	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $398.11	Professional		$223.87	$275.42	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $93.33 / $131.83	Professional	26	$67.61	$93.33	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $181.97 / $263.03	Professional	TC	$147.91	$181.97	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $398.11	Professional		$138.04	$269.15	$398.11
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $91.20 / $131.83	Professional	26	$64.57	$91.20	$131.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $177.83 / $263.03	Professional	TC	$128.82	$177.83	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $302.00	Professional		$154.88	$177.83	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $52.48 / $100.00	Professional	26	$50.12	$52.48	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $128.82 / $208.93	Professional	TC	$102.33	$128.82	$208.93