Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $120.23 / $120.23	Facility	26	$117.49	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $1,412.54	Professional		$323.59	$457.09	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $117.49 / $331.13	Professional	26	$79.43	$117.49	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $812.83	Professional	TC	$245.47	$338.84	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $234.42 / $398.11	Professional		$60.26	$234.42	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $933.25	Professional		$323.59	$616.60	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $112.20 / $165.96	Professional	26	$72.44	$112.20	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $501.19 / $758.58	Professional	TC	$245.47	$501.19	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $954.99	Professional		$426.58	$660.69	$954.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $123.03 / $165.96	Professional	26	$79.43	$123.03	$165.96
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $501.19 / $741.31	Professional	TC	$309.03	$501.19	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $933.25	Professional		$331.13	$501.19	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $79.43 / $173.78	Professional	26	$74.13	$79.43	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $436.52 / $724.44	Professional	TC	$257.04	$436.52	$724.44