Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $199.53 / $831.76	Professional		$70.79	$199.53	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $309.03 / $741.31	Professional	26	$25.70	$309.03	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $85.11 / $630.96	Professional	TC	$44.67	$85.11	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $74.13 / $138.04	Professional		$19.95	$74.13	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $109.65	Professional		$39.81	$85.11	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $30.90 / $42.66	Professional	26	$15.49	$30.90	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $57.54 / $81.28	Professional	TC	$24.55	$57.54	$81.28
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 $75.86 / $109.65 / $309.03	Professional		$75.86	$109.65	$309.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $45.71	Professional	26	$28.18	$36.31	$45.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $58.88 / $81.28	Professional	TC	$44.67	$58.88	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $151.36	Professional		$40.74	$56.23	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $18.20 / $48.98	Professional	26	$16.22	$18.20	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $95.50	Professional	TC	$25.12	$38.02	$95.50