Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.60 / $120.31 / $137.72	Facility	26	$58.60	$120.31	$137.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $410.67 / $935.33	Professional		$216.45	$410.67	$935.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.60 / $71.06 / $160.97	Professional	26	$58.60	$71.06	$160.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.04 / $346.55 / $519.24	Professional	TC	$153.04	$346.55	$519.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $183.56 / $314.69	Professional		$55.17	$183.56	$314.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.08 / $485.78 / $731.44	Professional		$252.08	$485.78	$731.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.77 / $89.82 / $128.16	Professional	26	$57.77	$89.82	$128.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.44 / $406.32 / $600.65	Professional	TC	$192.44	$406.32	$600.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.93 / $307.70	Professional		$32.34	$80.93	$307.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.93 / $521.34 / $745.45	Professional		$337.93	$521.34	$745.45
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $60.46 / $90.00 / $120.92	Professional	26	$60.46	$90.00	$120.92
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $192.44 / $406.32 / $600.65	Professional	TC	$192.44	$406.32	$600.65
United Facility/Professional Professional Modifier Low / Median / High Price $240.81 / $404.36 / $664.21	Professional		$240.81	$404.36	$664.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.16 / $61.05 / $156.04	Professional	26	$58.16	$61.05	$156.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.76 / $339.87 / $509.80	Professional	TC	$179.76	$339.87	$509.80