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 $102.25 / $142.78 / $207.17	Professional		$102.25	$142.78	$207.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $42.92 / $67.64	Professional	26	$36.22	$42.92	$67.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.02 / $98.23 / $139.51	Professional	TC	$66.02	$98.23	$139.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $83.91 / $167.82	Professional		$41.30	$83.91	$167.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.85 / $201.36 / $282.38	Professional		$134.85	$201.36	$282.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.98 / $65.08 / $92.13	Professional	26	$47.98	$65.08	$92.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.60 / $136.28 / $197.19	Professional	TC	$86.60	$136.28	$197.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.01 / $167.94	Professional		$32.34	$63.01	$167.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $205.47 / $292.54	Professional		$138.87	$205.47	$292.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.98 / $64.05 / $85.19	Professional	26	$47.98	$64.05	$85.19
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $86.60 / $131.58 / $197.19	Professional	TC	$86.60	$131.58	$197.19
United Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $207.00 / $378.77	Professional		$142.19	$207.00	$378.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.25 / $72.36 / $106.12	Professional	26	$56.25	$72.36	$106.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.09 / $134.53 / $311.64	Professional	TC	$84.09	$134.53	$311.64