Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $407.38	Facility	26	$64.57	$64.57	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $354.81	Professional		$112.20	$154.88	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $48.98 / $114.82	Professional	26	$34.67	$48.98	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $107.15 / $234.42	Professional	TC	$75.86	$107.15	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $93.33 / $173.78	Professional		$30.90	$93.33	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $239.88	Professional		$141.25	$190.55	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $79.43	Professional	26	$45.71	$60.26	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $125.89 / $162.18	Professional	TC	$93.33	$125.89	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $323.59	Professional		$147.91	$213.80	$323.59
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $63.10 / $81.28	Professional	26	$43.65	$63.10	$81.28
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $128.82 / $162.18	Professional	TC	$93.33	$128.82	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $323.59	Professional		$144.54	$229.09	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $69.18 / $89.13	Professional	26	$45.71	$69.18	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $162.18 / $234.42	Professional	TC	$97.72	$162.18	$234.42