Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.52 / $59.52 / $178.75	Facility	26	$59.52	$59.52	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.33 / $475.00 / $813.00	Professional		$220.33	$475.00	$813.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.52 / $140.00 / $176.66	Professional	26	$59.52	$140.00	$176.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $160.82 / $335.00 / $557.00	Professional	TC	$160.82	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $159.16 / $359.72	Professional		$53.22	$159.16	$359.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.57 / $549.69 / $823.89	Professional		$230.57	$549.69	$823.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.71 / $86.36 / $123.11	Professional	26	$55.71	$86.36	$123.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.41 / $473.30 / $700.78	Professional	TC	$163.41	$473.30	$700.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $78.05 / $313.80	Professional		$32.34	$78.05	$313.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.85 / $549.69 / $740.89	Professional		$301.85	$549.69	$740.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.98 / $88.88 / $115.97	Professional	26	$57.98	$88.88	$115.97
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $168.95 / $473.30 / $700.78	Professional	TC	$168.95	$473.30	$700.78
United Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $467.20 / $779.70	Professional		$225.17	$467.20	$779.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $58.47 / $150.88	Professional	26	$54.76	$58.47	$150.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.88 / $386.25 / $653.65	Professional	TC	$166.88	$386.25	$653.65