Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.43 / $76.43 / $178.75	Facility	26	$76.43	$76.43	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.33 / $475.00 / $700.00	Professional		$295.33	$475.00	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.43 / $140.00 / $154.00	Professional	26	$76.43	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.91 / $335.00 / $557.00	Professional	TC	$218.91	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $212.58 / $532.69	Professional		$76.64	$212.58	$532.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.79 / $684.88 / $1,012.43	Professional		$312.79	$684.88	$1,012.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.33 / $110.77 / $158.16	Professional	26	$71.33	$110.77	$158.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.03 / $586.89 / $867.58	Professional	TC	$231.03	$586.89	$867.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.36 / $418.73	Professional		$32.34	$100.36	$418.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.36 / $684.88 / $931.00	Professional		$403.36	$684.88	$931.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $74.45 / $118.85 / $157.50	Professional	26	$74.45	$118.85	$157.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $231.03 / $586.89 / $878.20	Professional	TC	$231.03	$586.89	$878.20
United Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $575.12 / $948.99	Professional		$303.70	$575.12	$948.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $75.47 / $193.56	Professional	26	$70.54	$75.47	$193.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.23 / $500.01 / $947.71	Professional	TC	$228.23	$500.01	$947.71