Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.01 / $79.01 / $178.75	Facility	26	$79.01	$79.01	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $494.18 / $2,187.03	Professional		$325.33	$494.18	$2,187.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.01 / $140.00 / $145.65	Professional	26	$79.01	$140.00	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.33 / $341.01 / $557.00	Professional	TC	$246.33	$341.01	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $235.86 / $395.15	Professional		$60.91	$235.86	$395.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.52 / $609.58 / $929.92	Professional		$343.52	$609.58	$929.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.31 / $116.41 / $165.82	Professional	26	$74.31	$116.41	$165.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.14 / $506.60 / $764.10	Professional	TC	$253.14	$506.60	$764.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.13 / $399.96	Professional		$32.34	$105.13	$399.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.06 / $689.09 / $947.92	Professional		$424.06	$689.09	$947.92
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $76.98 / $119.57 / $157.50	Professional	26	$76.98	$119.57	$157.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $258.70 / $506.60 / $764.10	Professional	TC	$258.70	$506.60	$764.10
United Facility/Professional Professional Modifier Low / Median / High Price $333.75 / $511.96 / $946.55	Professional		$333.75	$511.96	$946.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $92.02 / $202.24	Professional	26	$74.09	$92.02	$202.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $432.90 / $906.91	Professional	TC	$255.52	$432.90	$906.91