Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $74.79 / $125.05	Professional		$66.20	$74.79	$125.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.19 / $25.12 / $34.08	Professional	26	$23.19	$25.12	$34.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.02 / $49.89 / $90.98	Professional	TC	$43.02	$49.89	$90.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $52.27 / $85.19	Professional		$19.64	$52.27	$85.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $83.39 / $126.77	Professional		$45.15	$83.39	$126.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $30.80 / $40.34	Professional	26	$18.38	$30.80	$40.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.56 / $52.58 / $76.00	Professional	TC	$30.56	$52.58	$76.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $32.34 / $97.90	Professional		$31.76	$32.34	$97.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $70.70 / $97.29	Facility		$54.42	$70.70	$97.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $105.14 / $170.44	Professional		$61.86	$105.14	$170.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $30.80 / $40.18	Professional	26	$21.42	$30.80	$40.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $40.44 / $52.58 / $76.00	Professional	TC	$40.44	$52.58	$76.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $42.52 / $106.59	Professional		$37.90	$42.52	$106.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $14.08 / $40.47	Professional	26	$14.08	$14.08	$40.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $28.16 / $66.12	Professional	TC	$23.82	$28.16	$66.12