Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.12 / $65.12 / $178.75	Facility	26	$65.12	$65.12	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.74 / $476.39 / $1,719.73	Professional		$259.74	$476.39	$1,719.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.12 / $140.00 / $154.00	Professional	26	$65.12	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.62 / $348.53 / $557.00	Professional	TC	$194.62	$348.53	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $185.59 / $466.14	Professional		$65.58	$185.59	$466.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.16 / $517.89 / $736.79	Professional		$274.16	$517.89	$736.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.02 / $94.19 / $133.97	Professional	26	$61.02	$94.19	$133.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.34 / $412.98 / $602.80	Professional	TC	$204.34	$412.98	$602.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.54 / $311.77	Professional		$32.34	$85.54	$311.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $345.26 / $548.40 / $756.54	Professional		$345.26	$548.40	$756.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.51 / $101.44 / $133.97	Professional	26	$63.51	$101.44	$133.97
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $204.34 / $412.98 / $602.80	Professional	TC	$204.34	$412.98	$602.80
United Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $433.48 / $859.66	Professional		$266.27	$433.48	$859.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $64.42 / $164.33	Professional	26	$60.23	$64.42	$164.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.85 / $369.41 / $686.51	Professional	TC	$201.85	$369.41	$686.51