Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.60 / $109.93 / $125.84	Facility	26	$53.60	$109.93	$125.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $259.57 / $450.37	Professional		$143.94	$259.57	$450.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $64.90 / $176.88	Professional	26	$55.15	$64.90	$176.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.34 / $190.14 / $303.82	Professional	TC	$90.34	$190.14	$303.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $112.43 / $213.26	Professional		$43.67	$112.43	$213.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $347.10 / $513.11	Professional		$163.88	$347.10	$513.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.33 / $81.96 / $117.30	Professional	26	$53.33	$81.96	$117.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.55 / $274.60 / $405.93	Professional	TC	$99.55	$274.60	$405.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $74.72 / $190.65	Professional		$32.34	$74.72	$190.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $378.78 / $482.16	Professional		$214.67	$378.78	$482.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.25 / $81.96 / $110.49	Professional	26	$55.25	$81.96	$110.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $114.80 / $274.60 / $421.80	Professional	TC	$114.80	$274.60	$421.80
United Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $281.73 / $488.12	Professional		$173.02	$281.73	$488.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $60.25 / $143.78	Professional	26	$52.18	$60.25	$143.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.50 / $214.28 / $352.99	Professional	TC	$117.50	$214.28	$352.99