Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.15 / $156.15 / $178.75	Facility	26	$53.15	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $475.00 / $700.00	Professional		$208.74	$475.00	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.15 / $140.00 / $297.00	Professional	26	$53.15	$140.00	$297.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.59 / $335.00 / $557.00	Professional	TC	$155.59	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $151.69 / $333.52	Professional		$47.29	$151.69	$333.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.94 / $599.29 / $885.91	Professional		$218.94	$599.29	$885.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.52 / $76.76 / $109.69	Professional	26	$49.52	$76.76	$109.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.63 / $531.39 / $785.53	Professional	TC	$160.63	$531.39	$785.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.72 / $306.80	Professional		$32.34	$69.72	$306.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.58 / $569.13 / $807.74	Professional		$288.58	$569.13	$807.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.92 / $79.41 / $109.69	Professional	26	$51.92	$79.41	$109.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $162.12 / $531.39 / $785.53	Professional	TC	$162.12	$531.39	$785.53
United Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $492.03 / $766.20	Professional		$212.59	$492.03	$766.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.45 / $61.71 / $135.09	Professional	26	$49.45	$61.71	$135.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.13 / $414.72 / $682.57	Professional	TC	$160.13	$414.72	$682.57