Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.59 / $111.59 / $111.59	Facility	26	$111.59	$111.59	$111.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.74 / $396.62 / $530.10	Professional		$342.74	$396.62	$530.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.48 / $112.50 / $172.16	Professional	26	$102.48	$112.50	$172.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.24 / $272.45 / $357.95	Professional	TC	$230.24	$272.45	$357.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $251.04 / $523.51	Professional		$95.00	$251.04	$523.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.09 / $465.06 / $631.48	Professional		$339.09	$465.06	$631.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.81 / $164.80 / $203.28	Professional	26	$124.81	$164.80	$203.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.28 / $324.58 / $442.37	Professional	TC	$214.28	$324.58	$442.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $163.15 / $502.46	Professional		$32.34	$163.15	$502.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.09 / $473.60 / $631.48	Professional		$339.09	$473.60	$631.48
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $124.81 / $162.79 / $203.28	Professional	26	$124.81	$162.79	$203.28
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $214.28 / $332.33 / $442.37	Professional	TC	$214.28	$332.33	$442.37
United Facility/Professional Professional Modifier Low / Median / High Price $354.64 / $494.01 / $744.98	Professional		$354.64	$494.01	$744.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $137.35 / $166.10 / $248.85	Professional	26	$137.35	$166.10	$248.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.84 / $333.20 / $496.13	Professional	TC	$231.84	$333.20	$496.13