Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.06 / $48.06 / $48.06	Facility	26	$48.06	$48.06	$48.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $132.47 / $317.23	Professional		$94.02	$132.47	$317.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.06 / $69.63 / $142.65	Professional	26	$48.06	$69.63	$142.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.96 / $62.84 / $174.55	Professional	TC	$45.96	$62.84	$174.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $93.14 / $179.02	Professional		$49.42	$93.14	$179.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $200.38 / $288.20	Professional		$132.41	$200.38	$288.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.10 / $86.20 / $109.03	Professional	26	$62.10	$86.20	$109.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.18 / $123.26 / $182.21	Professional	TC	$64.18	$123.26	$182.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $83.44 / $174.31	Professional		$32.34	$83.44	$174.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $227.50 / $311.93	Professional		$135.63	$227.50	$311.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $62.24 / $86.34 / $106.00	Professional	26	$62.24	$86.34	$106.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $65.33 / $123.26 / $182.21	Professional	TC	$65.33	$123.26	$182.21
United Facility/Professional Professional Modifier Low / Median / High Price $152.24 / $236.67 / $311.70	Professional		$152.24	$236.67	$311.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $93.81 / $127.76	Professional	26	$69.48	$93.81	$127.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.95 / $140.68 / $203.97	Professional	TC	$76.95	$140.68	$203.97