Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $64.43 / $141.77	Professional		$57.09	$64.43	$141.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $25.46 / $42.40	Professional	26	$23.48	$25.46	$42.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.59 / $38.96 / $99.38	Professional	TC	$33.59	$38.96	$99.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $53.41 / $99.78	Professional		$23.93	$53.41	$99.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $72.29 / $107.02	Professional		$43.81	$72.29	$107.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.45 / $33.88 / $50.83	Professional	26	$22.45	$33.88	$50.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.52 / $41.11 / $62.38	Professional	TC	$29.52	$41.11	$62.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.59 / $112.24	Professional		$32.34	$39.59	$112.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $97.50 / $177.65	Professional		$65.09	$97.50	$177.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.10 / $33.88 / $44.64	Professional	26	$26.10	$33.88	$44.64
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $39.00 / $44.69 / $62.38	Professional	TC	$39.00	$44.69	$62.38
United Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $41.79 / $111.44	Professional		$39.14	$41.79	$111.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.34 / $17.54 / $46.77	Professional	26	$16.34	$17.54	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $24.25 / $60.63	Professional	TC	$20.57	$24.25	$60.63