Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.90 / $50.90 / $119.68	Facility	26	$50.90	$50.90	$119.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $303.73 / $347.11	Professional		$153.44	$303.73	$347.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.06 / $62.09 / $268.42	Professional	26	$52.06	$62.09	$268.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.55 / $229.28 / $281.42	Professional	TC	$102.55	$229.28	$281.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $119.14 / $261.95	Professional		$54.11	$119.14	$261.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $344.34 / $520.25	Professional		$173.67	$344.34	$520.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.40 / $78.48 / $111.59	Professional	26	$50.40	$78.48	$111.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.98 / $272.75 / $403.19	Professional	TC	$112.98	$272.75	$403.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.56 / $211.84	Professional		$32.34	$70.56	$211.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.53 / $379.37 / $505.82	Professional		$227.53	$379.37	$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 $117.38 / $272.75 / $408.66	Professional	TC	$117.38	$272.75	$408.66
United Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $290.01 / $571.02	Professional		$169.02	$290.01	$571.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.03 / $53.07 / $136.66	Professional	26	$50.03	$53.07	$136.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.95 / $236.97 / $378.76	Professional	TC	$115.95	$236.97	$378.76