Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.47 / $64.47 / $178.75	Facility	26	$64.47	$64.47	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.81 / $475.00 / $784.47	Professional		$272.81	$475.00	$784.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.47 / $140.00 / $167.54	Professional	26	$64.47	$140.00	$167.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.34 / $335.00 / $616.91	Professional	TC	$208.34	$335.00	$616.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $236.41 / $519.79	Professional		$49.49	$236.41	$519.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.08 / $620.96 / $945.76	Professional		$351.08	$620.96	$945.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.42 / $92.89 / $132.68	Professional	26	$60.42	$92.89	$132.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.72 / $538.79 / $813.09	Professional	TC	$266.72	$538.79	$813.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.09 / $397.03	Professional		$32.34	$85.09	$397.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.97 / $701.96 / $968.58	Professional		$431.97	$701.96	$968.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $100.04 / $132.68	Professional	26	$62.89	$100.04	$132.68
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $281.94 / $538.79 / $813.09	Professional	TC	$281.94	$538.79	$813.09
United Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $521.77 / $981.46	Professional		$342.35	$521.77	$981.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.27 / $63.81 / $162.75	Professional	26	$59.27	$63.81	$162.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.54 / $450.62 / $789.94	Professional	TC	$278.54	$450.62	$789.94