Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.95 / $78.95 / $178.75	Facility	26	$78.95	$78.95	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.05 / $494.18 / $700.00	Professional		$268.05	$494.18	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.95 / $140.00 / $154.00	Professional	26	$78.95	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $189.09 / $348.53 / $557.00	Professional	TC	$189.09	$348.53	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $194.26 / $427.11	Professional		$76.02	$194.26	$427.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $646.49 / $977.11	Professional		$281.27	$646.49	$977.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.67 / $122.97 / $175.98	Professional	26	$75.67	$122.97	$175.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.74 / $533.98 / $801.14	Professional	TC	$191.74	$533.98	$801.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.98 / $328.29	Professional		$32.34	$104.98	$328.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $369.13 / $642.76 / $872.26	Professional		$369.13	$642.76	$872.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $76.84 / $122.97 / $160.81	Professional	26	$76.84	$122.97	$160.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $196.89 / $533.98 / $801.14	Professional	TC	$196.89	$533.98	$801.14
United Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $546.91 / $981.02	Professional		$272.41	$546.91	$981.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.92 / $91.67 / $221.00	Professional	26	$77.92	$91.67	$221.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.49 / $446.18 / $819.50	Professional	TC	$194.49	$446.18	$819.50