Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $129.01 / $235.96	Professional		$73.84	$129.01	$235.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.69 / $37.74 / $51.69	Professional	26	$22.69	$37.74	$51.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.16 / $91.27 / $184.26	Professional	TC	$51.16	$91.27	$184.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $85.28 / $155.44	Professional		$29.12	$85.28	$155.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $97.60 / $126.07	Professional		$77.41	$97.60	$126.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.61 / $31.76 / $43.21	Professional	26	$26.61	$31.76	$43.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.36 / $63.85 / $82.01	Professional	TC	$50.36	$63.85	$82.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.44 / $181.95	Professional		$32.34	$48.44	$181.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $126.07 / $304.81	Professional		$84.14	$126.07	$304.81
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $27.04 / $31.76 / $41.54	Professional	26	$27.04	$31.76	$41.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $50.36 / $65.69 / $82.01	Professional	TC	$50.36	$65.69	$82.01
United Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $69.94 / $174.86	Professional		$41.99	$69.94	$174.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $20.35 / $54.27	Professional	26	$14.27	$20.35	$54.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.72 / $49.59 / $123.98	Professional	TC	$27.72	$49.59	$123.98