Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $87.10 / $87.10	Facility	26	$83.18	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $954.99	Professional		$204.17	$275.42	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $117.49	Professional	26	$54.95	$74.13	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $218.78 / $831.76	Professional	TC	$147.91	$218.78	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $141.25 / $331.13	Professional		$43.65	$141.25	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $741.31	Professional		$309.03	$524.81	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $141.25	Professional	26	$67.61	$89.13	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $457.09 / $616.60	Professional	TC	$218.78	$457.09	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $741.31	Professional		$281.84	$524.81	$741.31
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $141.25	Professional	26	$67.61	$89.13	$141.25
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $436.52 / $616.60	Professional	TC	$199.53	$436.52	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $512.86 / $575.44	Professional		$199.53	$512.86	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $52.48 / $128.82	Professional	26	$48.98	$52.48	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $416.87 / $524.81	Professional	TC	$144.54	$416.87	$524.81