Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.63 / $16.63 / $16.63	Facility	26	$16.63	$16.63	$16.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $100.00 / $145.28	Professional		$29.93	$100.00	$145.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $33.25 / $41.06	Professional	26	$16.63	$33.25	$41.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.30 / $82.73 / $97.42	Professional	TC	$13.30	$82.73	$97.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $35.56 / $235.12	Professional		$19.69	$35.56	$235.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $130.59 / $191.83	Professional		$39.58	$130.59	$191.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $39.52 / $57.17	Professional	26	$22.06	$39.52	$57.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $95.03 / $134.66	Professional	TC	$18.05	$95.03	$134.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $32.34 / $54.25	Professional		$24.21	$32.34	$54.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $90.84 / $182.70	Professional		$48.47	$90.84	$182.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $39.52 / $57.17	Professional	26	$24.43	$39.52	$57.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.36 / $91.86 / $134.66	Professional	TC	$19.36	$91.86	$134.66
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $90.07 / $191.95	Professional		$44.00	$90.07	$191.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.20 / $43.47 / $56.71	Professional	26	$25.20	$43.47	$56.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $38.06 / $135.29	Professional	TC	$18.80	$38.06	$135.29