Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.31 / $79.31 / $178.75	Facility	26	$79.31	$79.31	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.02 / $475.00 / $700.00	Professional		$325.02	$475.00	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.31 / $140.00 / $205.56	Professional	26	$79.31	$140.00	$205.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.71 / $335.00 / $557.00	Professional	TC	$245.71	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $226.57 / $515.45	Professional		$79.50	$226.57	$515.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.45 / $610.66 / $926.88	Professional		$339.45	$610.66	$926.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.01 / $116.39 / $165.76	Professional	26	$74.01	$116.39	$165.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $249.86 / $507.71 / $761.11	Professional	TC	$249.86	$507.71	$761.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.10 / $395.12	Professional		$32.34	$104.10	$395.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.81 / $690.32 / $947.02	Professional		$424.81	$690.32	$947.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $77.22 / $118.56 / $157.50	Professional	26	$77.22	$118.56	$157.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $256.83 / $507.71 / $761.11	Professional	TC	$256.83	$507.71	$761.11
United Facility/Professional Professional Modifier Low / Median / High Price $331.61 / $514.41 / $1,044.13	Professional		$331.61	$514.41	$1,044.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $79.09 / $202.24	Professional	26	$74.09	$79.09	$202.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.69 / $435.33 / $865.29	Professional	TC	$253.69	$435.33	$865.29