Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.41 / $19.41 / $19.41	Facility	26	$19.41	$19.41	$19.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $178.26 / $449.81	Professional		$127.93	$178.26	$449.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.41 / $29.49 / $54.71	Professional	26	$19.41	$29.49	$54.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.52 / $148.78 / $395.07	Professional	TC	$108.52	$148.78	$395.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $108.67 / $238.92	Professional		$19.97	$108.67	$238.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $249.15 / $345.35	Professional		$163.51	$249.15	$345.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.75 / $34.79 / $46.54	Professional	26	$24.75	$34.79	$46.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.63 / $215.13 / $303.08	Professional	TC	$142.63	$215.13	$303.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.63 / $231.90	Professional		$32.34	$36.63	$231.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $300.32 / $366.62	Professional		$175.42	$300.32	$366.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.86 / $34.79 / $44.60	Professional	26	$24.86	$34.79	$44.60
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $147.16 / $221.81 / $303.08	Professional	TC	$147.16	$221.81	$303.08
United Facility/Professional Professional Modifier Low / Median / High Price $191.74 / $298.45 / $402.60	Professional		$191.74	$298.45	$402.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $37.24 / $51.09	Professional	26	$25.55	$37.24	$51.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.74 / $252.89 / $348.43	Professional	TC	$171.74	$252.89	$348.43