Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.14 / $48.14 / $112.49	Facility	26	$48.14	$48.14	$112.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $304.60 / $363.23	Professional		$183.84	$304.60	$363.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.14 / $66.23 / $255.77	Professional	26	$48.14	$66.23	$255.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.69 / $237.63 / $276.56	Professional	TC	$135.69	$237.63	$276.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $140.84 / $309.66	Professional		$49.16	$140.84	$309.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $344.56 / $506.19	Professional		$197.93	$344.56	$506.19
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 $143.44 / $264.24 / $399.70	Professional	TC	$143.44	$264.24	$399.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.28 / $237.41	Professional		$32.34	$67.28	$237.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.11 / $386.22 / $521.57	Professional		$238.11	$386.22	$521.57
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $49.39 / $76.62 / $98.77	Professional	26	$49.39	$76.62	$98.77
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $143.44 / $264.24 / $399.70	Professional	TC	$143.44	$264.24	$399.70
United Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $275.30 / $535.16	Professional		$192.03	$275.30	$535.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.72 / $50.55 / $130.36	Professional	26	$47.72	$50.55	$130.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.72 / $226.11 / $386.76	Professional	TC	$141.72	$226.11	$386.76