Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.20 / $89.20 / $89.20	Facility	26	$89.20	$89.20	$89.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $348.06 / $491.71	Professional		$311.01	$348.06	$491.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.95 / $91.48 / $132.40	Professional	26	$81.95	$91.48	$132.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.05 / $256.57 / $282.23	Professional	TC	$229.05	$256.57	$282.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $205.73 / $491.00	Professional		$60.09	$205.73	$491.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.86 / $443.30 / $524.61	Professional		$339.86	$443.30	$524.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.70 / $134.55 / $161.84	Professional	26	$100.70	$134.55	$161.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.16 / $311.95 / $372.05	Professional	TC	$239.16	$311.95	$372.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $130.19 / $411.76	Professional		$32.34	$130.19	$411.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.86 / $443.30 / $524.61	Professional		$339.86	$443.30	$524.61
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $100.70 / $131.35 / $161.84	Professional	26	$100.70	$131.35	$161.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $239.16 / $311.95 / $372.05	Professional	TC	$239.16	$311.95	$372.05
United Facility/Professional Professional Modifier Low / Median / High Price $387.86 / $477.34 / $622.52	Professional		$387.86	$477.34	$622.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.00 / $133.65 / $195.14	Professional	26	$112.00	$133.65	$195.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.08 / $336.40 / $466.44	Professional	TC	$265.08	$336.40	$466.44