Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.65 / $78.65 / $178.75	Facility	26	$78.65	$78.65	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $475.00 / $700.00	Professional		$261.89	$475.00	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.65 / $140.00 / $154.00	Professional	26	$78.65	$140.00	$154.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $130.94 / $350.00 / $350.00	Professional	52	$130.94	$350.00	$350.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.25 / $335.00 / $557.00	Professional	TC	$183.25	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $190.63 / $419.13	Professional		$79.12	$190.63	$419.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $635.07 / $938.80	Professional		$275.38	$635.07	$938.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.68 / $114.70 / $163.26	Professional	26	$73.68	$114.70	$163.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.30 / $533.61 / $788.82	Professional	TC	$191.30	$533.61	$788.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.61 / $322.73	Professional		$32.34	$103.61	$322.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.04 / $635.07 / $861.11	Professional		$363.04	$635.07	$861.11
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $76.56 / $122.71 / $157.50	Professional	26	$76.56	$122.71	$157.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $191.30 / $533.61 / $798.15	Professional	TC	$191.30	$533.61	$798.15
United Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $541.71 / $968.36	Professional		$266.58	$541.71	$968.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.80 / $77.65 / $200.66	Professional	26	$72.80	$77.65	$200.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.96 / $437.35 / $932.99	Professional	TC	$188.96	$437.35	$932.99