Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $173.78	Facility	26	$165.96	$165.96	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $851.14	Professional		$354.81	$407.38	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $120.23 / $263.03	Professional	26	$97.72	$120.23	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $288.40 / $602.56	Professional	TC	$218.78	$288.40	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $251.19 / $501.19	Professional		$75.86	$251.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $630.96	Professional		$338.84	$467.74	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $165.96 / $218.78	Professional	26	$125.89	$165.96	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $323.59 / $501.19	Professional	TC	$213.80	$323.59	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $630.96	Professional		$338.84	$467.74	$630.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $162.18 / $218.78	Professional	26	$123.03	$162.18	$218.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $302.00 / $501.19	Professional	TC	$213.80	$302.00	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $741.31	Professional		$354.81	$478.63	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $165.96 / $251.19	Professional	26	$123.03	$165.96	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $316.23 / $501.19	Professional	TC	$229.09	$316.23	$501.19