Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.62 / $21.62 / $21.62	Facility	26	$21.62	$21.62	$21.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $167.92 / $356.85	Professional		$121.20	$167.92	$356.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.58 / $136.60 / $293.89	Professional	TC	$99.58	$136.60	$293.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $64.01 / $200.68	Professional		$25.16	$64.01	$200.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $210.58 / $289.81	Professional		$135.86	$210.58	$289.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.11 / $169.12 / $239.60	Professional	TC	$109.11	$169.12	$239.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.38 / $247.17	Professional		$32.34	$38.38	$247.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $230.96 / $329.53	Professional		$156.24	$230.96	$329.53
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $109.11 / $169.12 / $239.60	Professional	TC	$109.11	$169.12	$239.60
United Facility/Professional Professional Modifier Low / Median / High Price $135.34 / $217.51 / $303.76	Professional		$135.34	$217.51	$303.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.28 / $146.02 / $234.57	Professional	TC	$107.28	$146.02	$234.57