Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $89.13 / $97.72	Facility	26	$74.13	$89.13	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $537.03	Professional		$123.03	$245.47	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $177.83	Professional	26	$47.86	$67.61	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $436.52	Professional	TC	$131.83	$190.55	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $141.25 / $269.15	Professional		$45.71	$141.25	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $501.19	Professional		$194.98	$331.13	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $70.79 / $107.15	Professional	26	$45.71	$70.79	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $263.03 / $398.11	Professional	TC	$144.54	$263.03	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $562.34	Professional		$229.09	$389.05	$562.34
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $107.15	Professional	26	$51.29	$74.13	$107.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $275.42 / $389.05	Professional	TC	$173.78	$275.42	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $512.86	Professional		$190.55	$275.42	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $50.12 / $112.20	Professional	26	$46.77	$50.12	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $223.87 / $389.05	Professional	TC	$141.25	$223.87	$389.05