Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $141.25 / $151.36	Facility	26	$117.49	$141.25	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $1,023.29	Professional		$218.78	$316.23	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $295.12	Professional	26	$70.79	$93.33	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $218.78 / $562.34	Professional	TC	$147.91	$218.78	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $213.80 / $363.08	Professional		$77.62	$213.80	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $870.96	Professional		$288.40	$549.54	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $114.82 / $173.78	Professional	26	$75.86	$114.82	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $426.58 / $691.83	Professional	TC	$204.17	$426.58	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $870.96	Professional		$371.54	$602.56	$870.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $123.03 / $173.78	Professional	26	$75.86	$123.03	$173.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $446.68 / $630.96	Professional	TC	$251.19	$446.68	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $776.25	Professional		$281.84	$446.68	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $83.18 / $181.97	Professional	26	$77.62	$83.18	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $363.08 / $575.44	Professional	TC	$199.53	$363.08	$575.44