Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $933.25	Professional		$70.79	$117.49	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $85.11 / $204.17	Professional	26	$20.89	$85.11	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $85.11 / $724.44	Professional	TC	$50.12	$85.11	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $85.11 / $154.88	Professional		$23.44	$85.11	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $125.89	Professional		$40.74	$91.20	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $29.51 / $41.69	Professional	26	$13.49	$29.51	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $63.10 / $81.28	Professional	TC	$27.54	$63.10	$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 $77.62 / $125.89 / $346.74	Professional		$77.62	$125.89	$346.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $31.62 / $44.67	Professional	26	$26.92	$31.62	$44.67
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $66.07 / $93.33	Professional	TC	$50.12	$66.07	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $173.78	Professional		$41.69	$69.18	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $20.42 / $53.70	Professional	26	$14.13	$20.42	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $50.12 / $123.03	Professional	TC	$27.54	$50.12	$123.03