Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.26 / $49.96 / $92.85	Facility	26	$25.26	$49.96	$92.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $93.98 / $232.80	Professional		$86.29	$93.98	$232.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $29.28 / $151.19	Professional	26	$23.42	$29.28	$151.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $69.06 / $181.74	Professional	TC	$62.86	$69.06	$181.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $86.09 / $184.97	Professional		$29.97	$86.09	$184.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $119.54 / $162.52	Professional		$97.40	$119.54	$162.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.99 / $32.68 / $48.36	Professional	26	$27.99	$32.68	$48.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.41 / $91.50 / $117.14	Professional	TC	$69.41	$91.50	$117.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.45 / $188.95	Professional		$32.34	$50.45	$188.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $157.66 / $365.23	Professional		$101.83	$157.66	$365.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $27.99 / $33.31 / $48.36	Professional	26	$27.99	$33.31	$48.36
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $69.41 / $94.23 / $117.14	Professional	TC	$69.41	$94.23	$117.14
United Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $84.23 / $210.59	Professional		$55.52	$84.23	$210.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $19.57 / $54.14	Professional	26	$15.52	$19.57	$54.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.00 / $60.32 / $154.82	Professional	TC	$40.00	$60.32	$154.82