Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $120.23 / $120.23	Facility	26	$114.82	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $1,096.48	Professional		$251.19	$398.11	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $141.25 / $407.38	Professional	26	$77.62	$141.25	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $269.15 / $660.69	Professional	TC	$181.97	$269.15	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $190.55 / $416.87	Professional		$77.62	$190.55	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $630.96 / $933.25	Professional		$263.03	$630.96	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $162.18	Professional	26	$72.44	$109.65	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $524.81 / $776.25	Professional	TC	$181.97	$524.81	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $870.96	Professional		$354.81	$602.56	$870.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $123.03 / $162.18	Professional	26	$79.43	$123.03	$162.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $524.81 / $776.25	Professional	TC	$229.09	$524.81	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $933.25	Professional		$269.15	$537.03	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $77.62 / $173.78	Professional	26	$72.44	$77.62	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $436.52 / $758.58	Professional	TC	$190.55	$436.52	$758.58