Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.68 / $78.68 / $178.75	Facility	26	$78.68	$78.68	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.16 / $475.00 / $1,053.06	Professional		$327.16	$475.00	$1,053.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.68 / $140.00 / $322.00	Professional	26	$78.68	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $248.48 / $335.00 / $557.00	Professional	TC	$248.48	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $236.42 / $593.80	Professional		$79.18	$236.42	$593.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.68 / $606.95 / $926.22	Professional		$343.68	$606.95	$926.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.70 / $115.11 / $163.92	Professional	26	$73.70	$115.11	$163.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.79 / $505.12 / $762.31	Professional	TC	$253.79	$505.12	$762.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.29 / $399.88	Professional		$32.34	$104.29	$399.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.23 / $686.12 / $953.31	Professional		$422.23	$686.12	$953.31
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $76.63 / $118.60 / $157.50	Professional	26	$76.63	$118.60	$157.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $260.26 / $505.12 / $762.31	Professional	TC	$260.26	$505.12	$762.31
United Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $510.13 / $949.18	Professional		$334.68	$510.13	$949.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.45 / $91.31 / $200.67	Professional	26	$73.45	$91.31	$200.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.07 / $431.95 / $729.05	Professional	TC	$257.07	$431.95	$729.05