Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.85 / $52.85 / $178.75	Facility	26	$52.85	$52.85	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $475.00 / $700.00	Professional		$219.50	$475.00	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $140.00 / $154.00	Professional	26	$52.85	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.65 / $335.00 / $557.00	Professional	TC	$166.65	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $159.49 / $401.33	Professional		$53.18	$159.49	$401.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.63 / $596.70 / $882.08	Professional		$227.63	$596.70	$882.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.52 / $76.76 / $109.10	Professional	26	$49.52	$76.76	$109.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.12 / $528.79 / $781.70	Professional	TC	$171.12	$528.79	$781.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.34 / $340.13	Professional		$32.34	$69.34	$340.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.55 / $561.39 / $804.25	Professional		$303.55	$561.39	$804.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.64 / $78.98 / $109.10	Professional	26	$51.64	$78.98	$109.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $171.12 / $528.79 / $790.39	Professional	TC	$171.12	$528.79	$790.39
United Facility/Professional Professional Modifier Low / Median / High Price $221.18 / $495.07 / $952.94	Professional		$221.18	$495.07	$952.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.97 / $52.15 / $134.30	Professional	26	$48.97	$52.15	$134.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.03 / $412.69 / $680.17	Professional	TC	$169.03	$412.69	$680.17