Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $104.71	Facility	26	$72.44	$72.44	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $645.65	Professional		$57.54	$89.13	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $407.38	Professional	26	$52.48	$75.86	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $35.48 / $239.88	Professional	TC	$19.05	$35.48	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $158.49	Professional		$42.66	$77.62	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $107.15 / $147.91	Professional		$46.77	$107.15	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $67.61 / $95.50	Professional	26	$34.67	$67.61	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $36.31 / $52.48	Professional	TC	$12.30	$36.31	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $245.47	Professional		$102.33	$138.04	$245.47
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $79.43 / $97.72	Professional	26	$60.26	$79.43	$97.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $38.02 / $52.48	Professional	TC	$29.51	$38.02	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $147.91	Professional		$54.95	$57.54	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $38.90 / $104.71	Professional	26	$35.48	$38.90	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.89 / $44.67	Professional	TC	$15.85	$20.89	$44.67