Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.58 / $14.58 / $14.58	Facility	26	$14.58	$14.58	$14.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $72.51 / $199.72	Professional		$68.06	$72.51	$199.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $18.98 / $74.00	Professional	26	$17.82	$18.98	$74.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $53.90 / $103.58	Professional	TC	$50.22	$53.90	$103.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $51.43 / $92.20	Professional		$18.25	$51.43	$92.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $1,066.65	Professional		$67.55	$67.55	$1,066.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $46.32	Professional	26	$18.45	$18.45	$46.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $1,020.33	Professional	TC	$49.10	$49.10	$1,020.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $32.34 / $83.67	Professional		$24.14	$32.34	$83.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
United Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $141.56 / $160.58	Professional		$95.64	$141.56	$160.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.21 / $26.16 / $40.81	Professional	26	$23.21	$26.16	$40.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.48 / $113.39 / $137.37	Professional	TC	$69.48	$113.39	$137.37