Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $139.12 / $711.36	Facility		$88.92	$139.12	$711.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $65.06 / $173.51	Professional		$59.78	$65.06	$173.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $21.98 / $288.00	Professional	26	$18.78	$21.98	$288.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.00 / $45.09 / $85.04	Professional	TC	$41.00	$45.09	$85.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $61.94 / $116.65	Professional		$24.78	$61.94	$116.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $80.97 / $110.27	Professional		$70.89	$80.97	$110.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.24 / $27.22 / $37.35	Professional	26	$23.24	$27.22	$37.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.40 / $55.19 / $73.31	Professional	TC	$47.40	$55.19	$73.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.04 / $134.28	Professional		$32.34	$40.04	$134.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.14 / $107.14 / $107.14	Facility		$107.14	$107.14	$107.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $107.30 / $233.57	Professional		$77.05	$107.30	$233.57
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $27.22 / $36.04	Professional	26	$23.48	$27.22	$36.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $47.40 / $55.19 / $73.31	Professional	TC	$47.40	$55.19	$73.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $56.51 / $150.69	Professional		$38.53	$56.51	$150.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $17.75 / $48.18	Professional	26	$12.44	$17.75	$48.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $38.76 / $101.12	Professional	TC	$26.09	$38.76	$101.12