Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.19 / $51.19 / $120.31	Facility	26	$51.19	$51.19	$120.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.62 / $282.68 / $347.89	Professional		$154.62	$282.68	$347.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.19 / $61.64 / $268.42	Professional	26	$51.19	$61.64	$268.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.42 / $229.91 / $286.25	Professional	TC	$103.42	$229.91	$286.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $119.87 / $279.79	Professional		$54.49	$119.87	$279.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $352.64 / $521.45	Professional		$174.82	$352.64	$521.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.68 / $78.48 / $111.59	Professional	26	$50.68	$78.48	$111.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.63 / $273.49 / $409.85	Professional	TC	$113.63	$273.49	$409.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $71.06 / $212.81	Professional		$32.34	$71.06	$212.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.86 / $387.64 / $506.91	Professional		$228.86	$387.64	$506.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.82 / $80.86 / $105.64	Professional	26	$52.82	$80.86	$105.64
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $118.31 / $273.49 / $409.85	Professional	TC	$118.31	$273.49	$409.85
United Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $290.32 / $533.82	Professional		$169.95	$290.32	$533.82
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 $116.88 / $237.28 / $349.74	Professional	TC	$116.88	$237.28	$349.74