Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $110.07 / $110.07	Professional		$99.80	$110.07	$110.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.84 / $24.75 / $115.97	Professional	26	$22.84	$24.75	$115.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.97 / $85.32 / $85.32	Professional	TC	$76.97	$85.32	$85.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $54.85 / $113.91	Professional		$14.23	$54.85	$113.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $99.07 / $137.84	Professional		$46.09	$99.07	$137.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.63 / $27.60 / $39.26	Professional	26	$17.63	$27.60	$39.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.43 / $73.68 / $102.20	Professional	TC	$59.43	$73.68	$102.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $32.34 / $119.47	Professional		$28.61	$32.34	$119.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $124.92 / $258.02	Professional		$86.31	$124.92	$258.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.92 / $27.60 / $35.72	Professional	26	$19.92	$27.60	$35.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $64.28 / $80.08 / $102.20	Professional	TC	$64.28	$80.08	$102.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $59.11 / $157.63	Professional		$52.43	$59.11	$157.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $13.86 / $36.96	Professional	26	$13.19	$13.86	$36.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.71 / $45.25 / $135.86	Professional	TC	$38.71	$45.25	$135.86