Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $81.28 / $95.50	Facility	26	$77.62	$81.28	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $676.08	Professional		$169.82	$263.03	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $64.57 / $177.83	Professional	26	$50.12	$64.57	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $190.55 / $416.87	Professional	TC	$123.03	$190.55	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $138.04 / $257.04	Professional		$47.86	$138.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $426.58 / $630.96	Professional		$190.55	$426.58	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $75.86 / $112.20	Professional	26	$47.86	$75.86	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $338.84 / $524.81	Professional	TC	$134.90	$338.84	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $630.96	Professional		$251.19	$446.68	$630.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $112.20	Professional	26	$53.70	$77.62	$112.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $354.81 / $524.81	Professional	TC	$162.18	$354.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $575.44	Professional		$199.53	$346.74	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $52.48 / $117.49	Professional	26	$50.12	$52.48	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $295.12 / $478.63	Professional	TC	$147.91	$295.12	$478.63