Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $48.74 / $110.96	Facility		$9.56	$48.74	$110.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $98.53 / $109.47	Professional		$75.20	$98.53	$109.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $48.95 / $56.91	Professional	26	$32.29	$48.95	$56.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.18 / $47.77 / $52.54	Professional	TC	$41.18	$47.77	$52.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $57.65 / $150.09	Professional		$24.21	$57.65	$150.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $124.35 / $163.56	Professional		$52.23	$124.35	$163.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.72 / $64.03 / $92.28	Professional	26	$22.72	$64.03	$92.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.52 / $50.36 / $71.28	Professional	TC	$29.52	$50.36	$71.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.14 / $95.26	Professional		$32.34	$39.14	$95.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.11 / $112.30 / $223.56	Facility		$80.11	$112.30	$223.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $144.24 / $196.42	Professional		$65.66	$144.24	$196.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.40 / $64.03 / $92.28	Professional	26	$26.40	$64.03	$92.28
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $36.46 / $50.36 / $71.28	Professional	TC	$36.46	$50.36	$71.28
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $54.86 / $130.28	Professional		$41.14	$54.86	$130.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $23.10 / $54.85	Professional	26	$17.32	$23.10	$54.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $27.73 / $75.43	Professional	TC	$23.82	$27.73	$75.43