Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.26 / $32.26 / $32.26	Facility	26	$32.26	$32.26	$32.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $149.38 / $218.77	Professional		$95.83	$149.38	$218.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.26 / $47.50 / $67.34	Professional	26	$32.26	$47.50	$67.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.57 / $99.40 / $114.23	Professional	TC	$63.57	$99.40	$114.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $98.31 / $224.03	Professional		$38.56	$98.31	$224.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $165.27 / $232.61	Professional		$126.31	$165.27	$232.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.08 / $57.67 / $84.64	Professional	26	$39.08	$57.67	$84.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.53 / $111.99 / $160.75	Professional	TC	$85.53	$111.99	$160.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.82 / $220.84	Professional		$32.34	$58.82	$220.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $196.31 / $294.89	Professional		$132.55	$196.31	$294.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $41.62 / $57.67 / $75.41	Professional	26	$41.62	$57.67	$75.41
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $79.20 / $107.34 / $160.75	Professional	TC	$79.20	$107.34	$160.75
United Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $175.80 / $249.61	Professional		$113.40	$175.80	$249.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $67.62 / $106.15	Professional	26	$44.03	$67.62	$106.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.95 / $106.08 / $154.06	Professional	TC	$76.95	$106.08	$154.06