Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.25 / $20.25 / $20.25	Facility	26	$20.25	$20.25	$20.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $133.49 / $480.00	Professional		$90.52	$133.49	$480.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.25 / $28.83 / $114.00	Professional	26	$20.25	$28.83	$114.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.79 / $91.07 / $137.19	Professional	TC	$59.79	$91.07	$137.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $67.41 / $148.22	Professional		$21.99	$67.41	$148.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $141.08 / $181.63	Professional		$105.70	$141.08	$181.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.65 / $36.54 / $46.07	Professional	26	$27.65	$36.54	$46.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.45 / $103.66 / $133.27	Professional	TC	$78.45	$103.66	$133.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.79 / $142.91	Professional		$32.34	$37.79	$142.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $159.25 / $236.08	Professional		$108.83	$159.25	$236.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.24 / $37.20 / $45.44	Professional	26	$28.24	$37.20	$45.44
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $78.91 / $103.66 / $125.87	Professional	TC	$78.91	$103.66	$125.87
United Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $158.10 / $225.99	Professional		$111.60	$158.10	$225.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.99 / $39.88 / $54.72	Professional	26	$28.99	$39.88	$54.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.39 / $122.73 / $164.08	Professional	TC	$82.39	$122.73	$164.08