Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.59 / $79.59 / $178.75	Facility	26	$79.59	$79.59	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.92 / $475.00 / $1,322.42	Professional		$333.92	$475.00	$1,322.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.59 / $140.00 / $443.00	Professional	26	$79.59	$140.00	$443.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $254.32 / $335.00 / $631.87	Professional	TC	$254.32	$335.00	$631.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $242.44 / $571.98	Professional		$60.80	$242.44	$571.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.25 / $939.97 / $1,307.78	Professional		$346.25	$939.97	$1,307.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.28 / $115.11 / $163.92	Professional	26	$74.28	$115.11	$163.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.19 / $838.14 / $1,166.09	Professional	TC	$261.19	$838.14	$1,166.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.46 / $498.96	Professional		$32.34	$104.46	$498.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.67 / $868.64 / $1,266.91	Professional		$460.67	$868.64	$1,266.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $77.47 / $118.93 / $157.50	Professional	26	$77.47	$118.93	$157.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $261.19 / $838.14 / $1,244.39	Professional	TC	$261.19	$838.14	$1,244.39
United Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $772.00 / $1,276.95	Professional		$336.52	$772.00	$1,276.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.75 / $78.54 / $201.46	Professional	26	$73.75	$78.54	$201.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.98 / $721.05 / $1,293.04	Professional	TC	$257.98	$721.05	$1,293.04