Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $119.43 / $163.92	Professional		$100.32	$119.43	$163.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $15.41 / $18.92	Professional	26	$12.19	$15.41	$18.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.09 / $104.62 / $143.00	Professional	TC	$88.09	$104.62	$143.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $38.58 / $117.47	Professional		$10.52	$38.58	$117.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $121.55 / $179.71	Professional		$77.70	$121.55	$179.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $16.55 / $26.63	Professional	26	$11.80	$16.55	$26.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.90 / $105.46 / $152.38	Professional	TC	$65.90	$105.46	$152.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $90.00 / $191.41	Professional		$21.06	$90.00	$191.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $121.55 / $179.71	Professional		$77.70	$121.55	$179.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $17.27 / $26.63	Professional	26	$11.81	$17.27	$26.63
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $65.90 / $105.46 / $152.38	Professional	TC	$65.90	$105.46	$152.38
United Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $126.00 / $198.45	Professional		$85.26	$126.00	$198.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.06 / $19.20 / $25.81	Professional	26	$14.06	$19.20	$25.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.16 / $107.09 / $163.19	Professional	TC	$69.16	$107.09	$163.19