Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.22 / $37.22 / $37.22	Facility	26	$37.22	$37.22	$37.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $232.96 / $467.91	Professional		$206.63	$232.96	$467.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.22 / $51.28 / $107.93	Professional	26	$37.22	$51.28	$107.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $191.84 / $398.36	Professional	TC	$162.49	$191.84	$398.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $177.08 / $408.86	Professional		$32.68	$177.08	$408.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.85 / $397.12 / $553.16	Professional		$264.85	$397.12	$553.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.24 / $64.73 / $85.47	Professional	26	$46.24	$64.73	$85.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $233.38 / $323.22 / $477.23	Professional	TC	$233.38	$323.22	$477.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.08 / $373.01	Professional		$32.34	$69.08	$373.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.22 / $489.16 / $649.63	Professional		$297.22	$489.16	$649.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.98 / $64.73 / $82.08	Professional	26	$47.98	$64.73	$82.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $240.77 / $323.22 / $477.23	Professional	TC	$240.77	$323.22	$477.23
United Facility/Professional Professional Modifier Low / Median / High Price $302.25 / $423.50 / $605.39	Professional		$302.25	$423.50	$605.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.00 / $68.12 / $95.85	Professional	26	$54.00	$68.12	$95.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.09 / $361.39 / $523.19	Professional	TC	$252.09	$361.39	$523.19