Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $91.65 / $153.16	Professional		$82.26	$91.65	$153.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.10 / $55.52 / $94.34	Professional	26	$51.10	$55.52	$94.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.16 / $36.14 / $58.83	Professional	TC	$31.16	$36.14	$58.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $81.27 / $162.69	Professional		$54.28	$81.27	$162.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $106.30 / $177.09	Professional		$75.76	$106.30	$177.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.66 / $74.06 / $110.76	Professional	26	$50.66	$74.06	$110.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.09 / $38.15 / $57.14	Professional	TC	$25.09	$38.15	$57.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.92 / $130.22	Professional		$32.34	$42.92	$130.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $138.65 / $246.19	Professional		$89.25	$138.65	$246.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $74.06 / $98.14	Professional	26	$59.19	$74.06	$98.14
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $29.43 / $38.15 / $57.14	Professional	TC	$29.43	$38.15	$57.14
United Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $57.08 / $174.86	Professional		$55.22	$57.08	$174.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $39.19 / $104.51	Professional	26	$35.95	$39.19	$104.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $19.18 / $45.03	Professional	TC	$16.03	$19.18	$45.03