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 $136.38 / $259.57 / $427.41	Professional		$136.38	$259.57	$427.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.60 / $73.51 / $179.70	Professional	26	$53.60	$73.51	$179.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.77 / $177.61 / $279.87	Professional	TC	$82.77	$177.61	$279.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $106.13 / $195.17	Professional		$43.45	$106.13	$195.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $284.20 / $436.95	Professional		$147.72	$284.20	$436.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.05 / $81.96 / $117.30	Professional	26	$53.05	$81.96	$117.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.50 / $211.69 / $312.94	Professional	TC	$88.50	$211.69	$312.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $74.72 / $180.22	Professional		$32.34	$74.72	$180.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $296.56 / $422.39	Professional		$197.70	$296.56	$422.39
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 $88.50 / $211.69 / $319.64	Professional	TC	$88.50	$211.69	$319.64
United Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $236.36 / $406.60	Professional		$142.03	$236.36	$406.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.50 / $65.68 / $158.34	Professional	26	$52.50	$65.68	$158.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $180.57 / $267.50	Professional	TC	$86.20	$180.57	$267.50