Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.03 / $70.03 / $146.93	Facility	26	$70.03	$70.03	$146.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $151.27 / $857.00	Professional		$108.75	$151.27	$857.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.72 / $55.26 / $298.89	Professional	TC	$38.72	$55.26	$298.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $131.43 / $238.44	Professional		$78.48	$131.43	$238.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $242.81 / $283.56	Professional		$180.15	$242.81	$283.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.80 / $87.33 / $113.86	Professional	TC	$64.80	$87.33	$113.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.09 / $169.44	Professional		$32.34	$49.09	$169.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $221.36 / $283.56	Professional		$180.15	$221.36	$283.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $64.80 / $85.43 / $97.43	Professional	TC	$64.80	$85.43	$97.43
United Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $146.85 / $297.69	Professional		$129.76	$146.85	$297.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $57.94 / $101.34	Professional	TC	$44.17	$57.94	$101.34