Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $58.52 / $175.56	Facility		$55.48	$58.52	$175.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $79.14 / $150.69	Professional		$68.90	$79.14	$150.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $10.58 / $19.95	Professional	26	$9.76	$10.58	$19.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.13 / $68.56 / $129.31	Professional	TC	$59.13	$68.56	$129.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $30.82 / $102.89	Professional		$8.41	$30.82	$102.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $85.32 / $116.71	Professional		$19.47	$85.32	$116.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $14.26 / $21.32	Professional	26	$9.84	$14.26	$21.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.63 / $72.20 / $95.04	Professional	TC	$51.63	$72.20	$95.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $76.77 / $108.80	Professional		$13.90	$76.77	$108.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $71.12 / $93.75	Facility		$50.89	$71.12	$93.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $108.52 / $214.63	Professional		$75.56	$108.52	$214.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.59 / $14.26 / $19.01	Professional	26	$11.59	$14.26	$19.01
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $63.97 / $73.45 / $95.04	Professional	TC	$63.97	$73.45	$95.04
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $46.34 / $146.74	Professional		$39.40	$46.34	$146.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $7.58 / $20.21	Professional	26	$6.94	$7.58	$20.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $38.76 / $103.36	Professional	TC	$34.79	$38.76	$103.36