Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.27 / $72.27 / $178.75	Facility	26	$72.27	$72.27	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $475.00 / $999.53	Professional		$308.08	$475.00	$999.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.27 / $140.00 / $264.06	Professional	26	$72.27	$140.00	$264.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $235.81 / $335.00 / $631.87	Professional	TC	$235.81	$335.00	$631.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $220.06 / $483.85	Professional		$64.14	$220.06	$483.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.20 / $594.41 / $896.02	Professional		$325.20	$594.41	$896.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.19 / $105.12 / $149.84	Professional	26	$67.19	$105.12	$149.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.11 / $501.42 / $746.18	Professional	TC	$248.11	$501.42	$746.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $94.48 / $370.11	Professional		$32.34	$94.48	$370.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.50 / $660.02 / $897.60	Professional		$413.50	$660.02	$897.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $70.47 / $111.87 / $149.84	Professional	26	$70.47	$111.87	$149.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $248.11 / $501.42 / $746.18	Professional	TC	$248.11	$501.42	$746.18
United Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $505.18 / $1,002.84	Professional		$316.27	$505.18	$1,002.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.38 / $71.17 / $184.06	Professional	26	$67.38	$71.17	$184.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.10 / $433.18 / $858.73	Professional	TC	$245.10	$433.18	$858.73