Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.73 / $133.82 / $137.69	Professional		$123.73	$133.82	$137.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.29 / $76.89 / $101.52	Professional	26	$71.29	$76.89	$101.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $53.71 / $60.81	Professional	TC	$29.51	$53.71	$60.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $102.66 / $253.31	Professional		$76.84	$102.66	$253.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $159.41 / $251.03	Professional		$87.48	$159.41	$251.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.69 / $103.64 / $153.01	Professional	26	$71.69	$103.64	$153.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $64.06 / $89.12	Professional	TC	$20.14	$64.06	$89.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.11 / $167.26	Professional		$32.34	$41.11	$167.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.57 / $207.92 / $297.58	Professional		$109.57	$207.92	$297.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $83.81 / $103.64 / $134.16	Professional	26	$83.81	$103.64	$134.16
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.77 / $64.06 / $89.12	Professional	TC	$25.77	$64.06	$89.12
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $84.43 / $188.24	Professional		$70.59	$84.43	$188.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.35 / $54.57 / $145.52	Professional	26	$50.35	$54.57	$145.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $24.03 / $50.73	Professional	TC	$16.02	$24.03	$50.73