Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $61.66 / $380.19	Facility	26	$58.88	$61.66	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $177.83	Professional		$67.61	$87.10	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $46.77 / $131.83	Professional	26	$37.15	$46.77	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $44.67 / $83.18	Professional	TC	$25.70	$44.67	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $107.15	Professional		$28.84	$57.54	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $151.36	Professional		$70.79	$102.33	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $64.57 / $91.20	Professional	26	$44.67	$64.57	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $39.81 / $74.13	Professional	TC	$26.92	$39.81	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $162.18	Professional		$74.13	$97.72	$162.18
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $58.88 / $83.18	Professional	26	$44.67	$58.88	$83.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $36.31 / $64.57	Professional	TC	$26.30	$36.31	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $147.91	Professional		$77.62	$107.15	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $67.61 / $89.13	Professional	26	$45.71	$67.61	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $40.74 / $57.54	Professional	TC	$30.90	$40.74	$57.54