Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.89 / $65.89 / $65.89	Facility	26	$65.89	$65.89	$65.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $141.15 / $265.62	Professional		$130.08	$141.15	$265.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.89 / $75.04 / $96.17	Professional	26	$65.89	$75.04	$96.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $67.92 / $92.73	Professional	TC	$55.03	$67.92	$92.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $112.21 / $190.62	Professional		$74.73	$112.21	$190.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $197.14 / $332.47	Professional		$146.27	$197.14	$332.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.98 / $115.90 / $166.31	Professional	26	$86.98	$115.90	$166.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.27 / $83.75 / $166.99	Professional	TC	$49.27	$83.75	$166.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $107.16 / $221.17	Professional		$32.34	$107.16	$221.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $211.84 / $383.34	Professional		$146.27	$211.84	$383.34
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $86.98 / $112.99 / $146.69	Professional	26	$86.98	$112.99	$146.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $49.27 / $76.36 / $140.26	Professional	TC	$49.27	$76.36	$140.26
United Facility/Professional Professional Modifier Low / Median / High Price $145.81 / $238.63 / $394.48	Professional		$145.81	$238.63	$394.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.66 / $128.16 / $188.01	Professional	26	$97.66	$128.16	$188.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.28 / $107.93 / $203.32	Professional	TC	$50.28	$107.93	$203.32