Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $245.47	Facility	26	$89.13	$89.13	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $346.74	Professional		$104.71	$138.04	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $134.90	Professional	26	$52.48	$64.57	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $63.10 / $147.91	Professional	TC	$48.98	$63.10	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $165.96	Professional		$42.66	$81.28	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $288.40	Professional		$114.82	$194.98	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $77.62 / $107.15	Professional	26	$57.54	$77.62	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $109.65 / $177.83	Professional	TC	$56.23	$109.65	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $309.03	Professional		$134.90	$223.87	$309.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $87.10 / $112.20	Professional	26	$58.88	$87.10	$112.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $117.49 / $181.97	Professional	TC	$63.10	$117.49	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $309.03	Professional		$128.82	$229.09	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $123.03	Professional	26	$63.10	$91.20	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $138.04 / $199.53	Professional	TC	$64.57	$138.04	$199.53