Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.07 / $63.64 / $117.36	Facility	26	$32.07	$63.64	$117.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $164.74 / $314.82	Professional		$145.34	$164.74	$314.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.60 / $51.27 / $79.20	Professional	26	$39.60	$51.27	$79.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.82 / $112.25 / $250.03	Professional	TC	$96.82	$112.25	$250.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $120.72 / $238.56	Professional		$37.81	$120.72	$238.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $182.85 / $261.04	Professional		$83.58	$182.85	$261.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.71 / $64.77 / $105.90	Professional	26	$35.71	$64.77	$105.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.59 / $126.42 / $191.81	Professional	TC	$105.59	$126.42	$191.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.77 / $254.59	Professional		$32.34	$63.77	$254.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.26 / $254.40 / $476.15	Professional		$167.26	$254.40	$476.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $41.22 / $64.77 / $105.90	Professional	26	$41.22	$64.77	$105.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $112.94 / $128.35 / $191.81	Professional	TC	$112.94	$128.35	$191.81
United Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $110.44 / $276.08	Professional		$92.62	$110.44	$276.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $34.25 / $73.33	Professional	26	$27.50	$34.25	$73.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.21 / $82.94 / $207.34	Professional	TC	$58.21	$82.94	$207.34