Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.90 / $104.54 / $119.68	Facility	26	$50.90	$104.54	$119.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $282.06 / $590.29	Professional		$153.44	$282.06	$590.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.90 / $62.84 / $139.97	Professional	26	$50.90	$62.84	$139.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.55 / $214.72 / $285.86	Professional	TC	$102.55	$214.72	$285.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $118.92 / $298.68	Professional		$54.11	$118.92	$298.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $352.64 / $521.45	Professional		$173.02	$352.64	$521.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.40 / $78.06 / $111.59	Professional	26	$50.40	$78.06	$111.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.32 / $273.12 / $409.85	Professional	TC	$112.32	$273.12	$409.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.56 / $212.49	Professional		$32.34	$70.56	$212.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.67 / $386.80 / $505.82	Professional		$226.67	$386.80	$505.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $80.38 / $105.08	Professional	26	$52.54	$80.38	$105.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $117.07 / $273.12 / $409.85	Professional	TC	$117.07	$273.12	$409.85
United Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $290.01 / $590.08	Professional		$168.72	$290.01	$590.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.03 / $62.44 / $136.66	Professional	26	$50.03	$62.44	$136.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.64 / $237.28 / $379.27	Professional	TC	$115.64	$237.28	$379.27