Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $34.67 / $102.33	Facility	26	$28.84	$34.67	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $380.19	Professional		$97.72	$134.90	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $25.70 / $91.20	Professional	26	$15.85	$25.70	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $109.65 / $223.87	Professional	TC	$87.10	$109.65	$223.87
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 $120.23 / $186.21 / $269.15	Professional		$120.23	$186.21	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $23.99 / $34.67	Professional	26	$16.98	$23.99	$34.67
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 / $229.09 / $295.12	Professional		$138.04	$229.09	$295.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $25.12 / $38.90	Professional	26	$16.98	$25.12	$38.90
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 / $218.78 / $295.12	Professional		$131.83	$218.78	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.30 / $45.71	Professional	26	$19.95	$26.30	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $190.55 / $263.03	Professional	TC	$107.15	$190.55	$263.03