Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.87 / $104.94 / $120.13	Facility	26	$56.87	$104.94	$120.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.69 / $391.85 / $663.00	Professional		$171.69	$391.85	$663.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.87 / $96.10 / $154.00	Professional	26	$56.87	$96.10	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $181.52 / $368.50	Professional	TC	$114.82	$181.52	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $154.66 / $388.47	Professional		$70.90	$154.66	$388.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.70 / $314.70 / $440.00	Professional		$193.70	$314.70	$440.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.03 / $99.54 / $145.44	Professional	26	$66.03	$99.54	$145.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.68 / $206.26 / $294.56	Professional	TC	$127.68	$206.26	$294.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.87 / $261.08	Professional		$32.34	$92.87	$261.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.23 / $385.81 / $546.88	Professional		$235.23	$385.81	$546.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $68.64 / $105.76 / $137.29	Professional	26	$68.64	$105.76	$137.29
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $129.65 / $206.26 / $294.56	Professional	TC	$129.65	$206.26	$294.56
United Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $669.15 / $1,453.59	Professional		$217.18	$669.15	$1,453.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.80 / $70.51 / $182.48	Professional	26	$66.80	$70.51	$182.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.55 / $599.84 / $1,271.10	Professional	TC	$147.55	$599.84	$1,271.10