Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.38 / $66.38 / $178.75	Facility	26	$66.38	$66.38	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.95 / $494.18 / $1,552.73	Professional		$237.95	$494.18	$1,552.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.38 / $143.00 / $315.00	Professional	26	$66.38	$143.00	$315.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.57 / $338.49 / $557.00	Professional	TC	$171.57	$338.49	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $173.22 / $435.08	Professional		$56.77	$173.22	$435.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.03 / $628.89 / $874.98	Professional		$245.03	$628.89	$874.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.04 / $82.41 / $117.25	Professional	26	$59.04	$82.41	$117.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $174.23 / $560.99 / $829.29	Professional	TC	$174.23	$560.99	$829.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $87.14 / $362.41	Professional		$32.34	$87.14	$362.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.75 / $603.40 / $847.64	Professional		$329.75	$603.40	$847.64
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $60.47 / $82.66 / $117.25	Professional	26	$60.47	$82.66	$117.25
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $174.23 / $560.99 / $841.50	Professional	TC	$174.23	$560.99	$841.50
United Facility/Professional Professional Modifier Low / Median / High Price $237.43 / $509.89 / $837.41	Professional		$237.43	$509.89	$837.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.76 / $76.87 / $185.32	Professional	26	$49.76	$76.87	$185.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.09 / $437.82 / $716.17	Professional	TC	$172.09	$437.82	$716.17