Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $35.48 / $104.71	Facility	26	$35.48	$35.48	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $288.40	Professional		$112.20	$141.25	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $89.13	Professional	26	$19.05	$23.99	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $112.20 / $218.78	Professional	TC	$89.13	$112.20	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $85.11 / $154.88	Professional		$16.98	$85.11	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $281.84	Professional		$123.03	$190.55	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.84 / $40.74	Professional	26	$21.88	$28.84	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $162.18 / $245.47	Professional	TC	$97.72	$162.18	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $316.23	Professional		$138.04	$234.42	$316.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $29.51 / $41.69	Professional	26	$20.42	$29.51	$41.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $169.82 / $245.47	Professional	TC	$109.65	$169.82	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $302.00	Professional		$131.83	$223.87	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $32.36 / $47.86	Professional	26	$24.55	$32.36	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $186.21 / $257.04	Professional	TC	$104.71	$186.21	$257.04