Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.76 / $86.93 / $86.93	Facility	26	$45.76	$86.93	$86.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $91.99 / $340.00	Professional		$81.70	$91.99	$340.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.45 / $63.15 / $230.00	Professional	26	$51.45	$63.15	$230.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $35.94 / $74.81	Professional	TC	$26.89	$35.94	$74.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $67.76 / $125.51	Professional		$39.18	$67.76	$125.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $116.22 / $174.61	Professional		$83.01	$116.22	$174.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.85 / $79.70 / $117.01	Professional	26	$58.85	$79.70	$117.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.58 / $37.46 / $69.64	Professional	TC	$26.58	$37.46	$69.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.21 / $135.62	Professional		$32.34	$57.21	$135.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $128.66 / $253.16	Professional		$92.44	$128.66	$253.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.85 / $79.70 / $106.87	Professional	26	$58.85	$79.70	$106.87
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.58 / $37.24 / $58.16	Professional	TC	$26.58	$37.24	$58.16
United Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $130.00 / $168.99	Professional		$103.63	$130.00	$168.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.90 / $84.67 / $113.84	Professional	26	$65.90	$84.67	$113.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.44 / $43.33 / $57.28	Professional	TC	$33.44	$43.33	$57.28