Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.43 / $156.15 / $178.75	Facility	26	$76.43	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.44 / $484.91 / $700.00	Professional		$262.44	$484.91	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.43 / $140.00 / $154.00	Professional	26	$76.43	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.02 / $348.53 / $557.00	Professional	TC	$186.02	$348.53	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $189.18 / $475.16	Professional		$76.64	$189.18	$475.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.77 / $626.79 / $926.55	Professional		$276.77	$626.79	$926.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.33 / $111.18 / $158.75	Professional	26	$71.33	$111.18	$158.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.03 / $528.42 / $781.16	Professional	TC	$195.03	$528.42	$781.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.36 / $379.85	Professional		$32.34	$100.36	$379.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.76 / $642.33 / $848.62	Professional		$359.76	$642.33	$848.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $74.45 / $118.85 / $157.50	Professional	26	$74.45	$118.85	$157.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $195.03 / $528.42 / $790.98	Professional	TC	$195.03	$528.42	$790.98
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $530.36 / $1,047.80	Professional		$268.11	$530.36	$1,047.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $75.47 / $194.35	Professional	26	$70.54	$75.47	$194.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.64 / $443.66 / $727.65	Professional	TC	$192.64	$443.66	$727.65