Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $135.66 / $150.25	Professional		$132.77	$135.66	$150.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.18 / $51.03 / $51.10	Professional	26	$47.18	$51.03	$51.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.58 / $85.57 / $99.20	Professional	TC	$84.58	$85.57	$99.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $101.73 / $280.07	Professional		$38.58	$101.73	$280.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $167.68 / $272.56	Professional		$95.79	$167.68	$272.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $63.29 / $103.44	Professional	26	$36.10	$63.29	$103.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.69 / $104.39 / $147.22	Professional	TC	$59.69	$104.39	$147.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.43 / $162.61	Professional		$32.34	$61.43	$162.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $211.42 / $318.33	Professional		$115.49	$211.42	$318.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $63.29 / $91.76	Professional	26	$42.06	$63.29	$91.76
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $68.86 / $104.39 / $147.22	Professional	TC	$68.86	$104.39	$147.22
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $89.80 / $234.84	Professional		$77.52	$89.80	$234.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $33.43 / $86.64	Professional	26	$27.94	$33.43	$86.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $57.39 / $148.19	Professional	TC	$49.58	$57.39	$148.19