Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.43 / $98.82 / $113.13	Facility	26	$48.43	$98.82	$113.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.58 / $313.49 / $585.64	Professional		$201.58	$313.49	$585.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.92 / $208.59	Professional	26	$50.07	$58.92	$208.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.15 / $246.13 / $331.34	Professional	TC	$153.15	$246.13	$331.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $160.22 / $270.05	Professional		$39.33	$160.22	$270.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.30 / $352.88 / $493.04	Professional		$220.30	$352.88	$493.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.04 / $74.56 / $106.49	Professional	26	$48.04	$74.56	$106.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.70 / $282.64 / $386.56	Professional	TC	$170.70	$282.64	$386.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.28 / $269.20	Professional		$32.34	$67.28	$269.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $411.73 / $555.28	Professional		$266.88	$411.73	$555.28
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $49.67 / $76.62 / $99.33	Professional	26	$49.67	$76.62	$99.33
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $170.70 / $281.18 / $386.56	Professional	TC	$170.70	$281.18	$386.56
United Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $284.08 / $572.41	Professional		$208.90	$284.08	$572.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.72 / $59.19 / $132.85	Professional	26	$47.72	$59.19	$132.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.59 / $225.63 / $423.00	Professional	TC	$158.59	$225.63	$423.00