Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.88 / $76.76 / $133.76	Facility		$66.88	$76.76	$133.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $107.51 / $201.95	Professional		$94.20	$107.51	$201.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $24.16 / $45.57	Professional	26	$22.30	$24.16	$45.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.90 / $83.35 / $157.22	Professional	TC	$71.90	$83.35	$157.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $67.61 / $138.88	Professional		$18.44	$67.61	$138.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $117.39 / $163.32	Professional		$33.40	$117.39	$163.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.86 / $32.22 / $47.85	Professional	26	$21.86	$32.22	$47.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.11 / $87.74 / $118.93	Professional	TC	$64.11	$87.74	$118.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $94.74 / $150.30	Professional		$30.50	$94.74	$150.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.58 / $98.29 / $132.47	Facility		$72.58	$98.29	$132.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $146.72 / $298.50	Professional		$104.76	$146.72	$298.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.42 / $32.22 / $42.45	Professional	26	$25.42	$32.22	$42.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $78.95 / $90.25 / $118.93	Professional	TC	$78.95	$90.25	$118.93
United Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $64.31 / $171.50	Professional		$56.16	$64.31	$171.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $16.67 / $44.46	Professional	26	$15.52	$16.67	$44.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.32 / $47.64 / $127.04	Professional	TC	$42.32	$47.64	$127.04