Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.30 / $32.32 / $32.32	Facility	26	$19.30	$32.32	$32.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $180.90 / $341.21	Professional		$101.75	$180.90	$341.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $21.46 / $90.00	Professional	26	$18.76	$21.46	$90.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.44 / $162.12 / $286.58	Professional	TC	$82.44	$162.12	$286.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $84.98 / $186.85	Professional		$21.61	$84.98	$186.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $198.43 / $281.11	Professional		$132.28	$198.43	$281.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $28.70 / $40.47	Professional	26	$21.70	$28.70	$40.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.67 / $170.57 / $246.75	Professional	TC	$111.67	$170.57	$246.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.15 / $179.58	Professional		$32.34	$36.15	$179.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $238.08 / $316.13	Professional		$139.94	$238.08	$316.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.02 / $30.31 / $40.47	Professional	26	$22.02	$30.31	$40.47
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $115.03 / $170.57 / $246.75	Professional	TC	$115.03	$170.57	$246.75
United Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $227.00 / $306.60	Professional		$158.90	$227.00	$306.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.42 / $33.01 / $50.66	Professional	26	$24.42	$33.01	$50.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.81 / $194.52 / $269.79	Professional	TC	$116.81	$194.52	$269.79