Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.83 / $156.15 / $178.75	Facility	26	$113.83	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.56 / $475.00 / $895.94	Professional		$358.56	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.83 / $140.00 / $292.74	Professional	26	$113.83	$140.00	$292.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.72 / $335.00 / $557.00	Professional	TC	$244.72	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $256.56 / $564.09	Professional		$107.73	$256.56	$564.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.90 / $668.22 / $996.37	Professional		$374.90	$668.22	$996.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.45 / $168.90 / $238.84	Professional	26	$106.45	$168.90	$238.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.93 / $518.80 / $757.53	Professional	TC	$254.93	$518.80	$757.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $150.37 / $430.57	Professional		$32.34	$150.37	$430.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.85 / $749.69 / $996.37	Professional		$464.85	$749.69	$996.37
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $110.28 / $168.90 / $220.87	Professional	26	$110.28	$168.90	$220.87
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $254.93 / $518.80 / $757.53	Professional	TC	$254.93	$518.80	$757.53
United Facility/Professional Professional Modifier Low / Median / High Price $362.59 / $618.79 / $1,136.81	Professional		$362.59	$618.79	$1,136.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.74 / $116.81 / $288.33	Professional	26	$110.74	$116.81	$288.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.85 / $474.87 / $845.97	Professional	TC	$251.85	$474.87	$845.97