Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $54.95 / $107.15	Facility	26	$53.70	$54.95	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $288.40	Professional		$102.33	$134.90	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.84 / $95.50	Professional	26	$21.88	$28.84	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $109.65 / $229.09	Professional	TC	$72.44	$109.65	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $81.28 / $199.53	Professional		$17.78	$81.28	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $338.84	Professional		$154.88	$229.09	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $36.31 / $52.48	Professional	26	$25.70	$36.31	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $194.98 / $288.40	Professional	TC	$123.03	$194.98	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $389.05	Professional		$173.78	$288.40	$389.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $52.48	Professional	26	$28.18	$39.81	$52.48
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $213.80 / $288.40	Professional	TC	$134.90	$213.80	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $371.54	Professional		$165.96	$275.42	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $43.65 / $56.23	Professional	26	$28.84	$43.65	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $234.42 / $309.03	Professional	TC	$138.04	$234.42	$309.03