Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.22 / $36.22 / $36.22	Facility	26	$36.22	$36.22	$36.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $79.34 / $101.82	Professional		$72.17	$79.34	$101.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $41.99 / $52.64	Professional	26	$36.22	$41.99	$52.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.94 / $39.02 / $49.19	Professional	TC	$35.94	$39.02	$49.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $60.89 / $114.37	Professional		$40.93	$60.89	$114.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $119.94 / $179.14	Professional		$85.00	$119.94	$179.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.63 / $63.63 / $92.13	Professional	26	$47.63	$63.63	$92.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.50 / $51.92 / $86.80	Professional	TC	$33.50	$51.92	$86.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.44 / $121.88	Professional		$32.34	$59.44	$121.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $123.90 / $198.52	Professional		$88.99	$123.90	$198.52
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.63 / $63.47 / $83.35	Professional	26	$47.63	$63.47	$83.35
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.50 / $50.25 / $74.40	Professional	TC	$33.50	$50.25	$74.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $129.24 / $196.83	Professional		$87.70	$129.24	$196.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.77 / $70.95 / $104.28	Professional	26	$53.77	$70.95	$104.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.10 / $57.19 / $92.33	Professional	TC	$35.10	$57.19	$92.33