Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $102.33 / $630.96	Facility	26	$97.72	$102.33	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $512.86	Professional		$151.36	$223.87	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.28 / $245.47	Professional	26	$56.23	$81.28	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $141.25 / $223.87	Professional	TC	$97.72	$141.25	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $128.82 / $281.84	Professional		$48.98	$128.82	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $346.74	Professional		$186.21	$257.04	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $97.72 / $125.89	Professional	26	$70.79	$97.72	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $162.18 / $213.80	Professional	TC	$112.20	$162.18	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $426.58	Professional		$204.17	$309.03	$426.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $100.00 / $128.82	Professional	26	$69.18	$100.00	$128.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $169.82 / $218.78	Professional	TC	$117.49	$169.82	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $398.11	Professional		$194.98	$302.00	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $144.54	Professional	26	$72.44	$109.65	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $186.21 / $269.15	Professional	TC	$120.23	$186.21	$269.15