Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.47 / $156.15 / $178.75	Facility	26	$64.47	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.06 / $475.00 / $895.94	Professional		$190.06	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.28 / $140.00 / $319.83	Professional	26	$69.28	$140.00	$319.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.59 / $335.00 / $566.16	Professional	TC	$125.59	$335.00	$566.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $138.53 / $304.58	Professional		$49.49	$138.53	$304.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $506.63 / $748.93	Professional		$201.42	$506.63	$748.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.42 / $93.31 / $133.27	Professional	26	$60.42	$93.31	$133.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $132.28 / $424.08 / $626.91	Professional	TC	$132.28	$424.08	$626.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $84.70 / $307.62	Professional		$32.34	$84.70	$307.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $488.07 / $682.84	Professional		$263.20	$488.07	$682.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $100.49 / $133.27	Professional	26	$62.89	$100.49	$133.27
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $132.28 / $424.08 / $628.50	Professional	TC	$132.28	$424.08	$628.50
United Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $433.79 / $887.69	Professional		$194.49	$433.79	$887.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.59 / $75.06 / $162.75	Professional	26	$59.59	$75.06	$162.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.68 / $330.96 / $725.21	Professional	TC	$130.68	$330.96	$725.21