Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.43 / $156.15 / $178.75	Facility	26	$94.43	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.17 / $475.00 / $1,047.35	Professional		$355.17	$475.00	$1,047.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.04 / $140.02 / $513.24	Professional	26	$103.04	$140.02	$513.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $235.88 / $335.00 / $631.87	Professional	TC	$235.88	$335.00	$631.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $238.61 / $464.51	Professional		$72.64	$238.61	$464.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.91 / $803.13 / $1,171.38	Professional		$346.91	$803.13	$1,171.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.72 / $136.94 / $195.21	Professional	26	$88.72	$136.94	$195.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $246.24 / $681.99 / $976.17	Professional	TC	$246.24	$681.99	$976.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $125.72 / $454.44	Professional		$32.34	$125.72	$454.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $815.97 / $1,082.48	Professional		$450.00	$815.97	$1,082.48
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $142.94 / $183.61	Professional	26	$91.80	$142.94	$183.61
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $246.24 / $681.99 / $976.17	Professional	TC	$246.24	$681.99	$976.17
United Facility/Professional Professional Modifier Low / Median / High Price $336.21 / $717.67 / $1,329.58	Professional		$336.21	$717.67	$1,329.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.92 / $92.95 / $263.62	Professional	26	$87.92	$92.95	$263.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.26 / $564.50 / $1,089.42	Professional	TC	$243.26	$564.50	$1,089.42