Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $169.82	Facility	26	$162.18	$162.18	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,584.89	Professional		$354.81	$457.09	$1,584.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $117.49 / $257.04	Professional	26	$97.72	$117.49	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $295.12 / $602.56	Professional	TC	$229.09	$295.12	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $251.19 / $489.78	Professional		$74.13	$251.19	$489.78
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 $123.03 / $162.18 / $218.78	Professional	26	$123.03	$162.18	$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 $120.23 / $158.49 / $218.78	Professional	26	$120.23	$158.49	$218.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $309.03 / $501.19	Professional	TC	$213.80	$309.03	$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 $120.23 / $162.18 / $239.88	Professional	26	$120.23	$162.18	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $316.23 / $501.19	Professional	TC	$229.09	$316.23	$501.19