Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $116.05 / $145.94	Professional		$90.01	$116.05	$145.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.28 / $83.15 / $100.29	Professional	26	$63.28	$83.15	$100.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $31.76 / $42.66	Professional	TC	$20.56	$31.76	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $74.88 / $157.52	Professional		$54.10	$74.88	$157.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $113.74 / $184.11	Professional		$79.44	$113.74	$184.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.05 / $88.75 / $142.77	Professional	26	$63.05	$88.75	$142.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $24.83 / $38.88	Professional	TC	$16.44	$24.83	$38.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $99.83 / $158.01	Professional		$32.34	$99.83	$158.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $113.89 / $184.11	Professional		$79.56	$113.89	$184.11
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.13 / $92.61 / $142.77	Professional	26	$63.13	$92.61	$142.77
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $24.83 / $38.88	Professional	TC	$16.44	$24.83	$38.88
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $136.77 / $182.40	Professional		$93.25	$136.77	$182.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.50 / $107.64 / $149.72	Professional	26	$76.50	$107.64	$149.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $28.86 / $46.80	Professional	TC	$18.39	$28.86	$46.80