Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.69 / $150.60 / $172.40	Facility	26	$81.69	$150.60	$172.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.73 / $475.00 / $1,001.83	Professional		$291.73	$475.00	$1,001.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.22 / $140.00 / $402.40	Professional	26	$88.22	$140.00	$402.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $188.43 / $335.00 / $368.50	Professional	TC	$188.43	$335.00	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $241.69 / $433.27	Professional		$77.94	$241.69	$433.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.33 / $491.76 / $693.81	Professional		$329.33	$491.76	$693.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.19 / $142.36 / $208.03	Professional	26	$95.19	$142.36	$208.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.33 / $340.16 / $485.77	Professional	TC	$209.33	$340.16	$485.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $134.81 / $408.15	Professional		$32.34	$134.81	$408.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.17 / $608.35 / $866.15	Professional		$371.17	$608.35	$866.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $98.51 / $153.27 / $197.03	Professional	26	$98.51	$153.27	$197.03
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $212.54 / $340.16 / $485.77	Professional	TC	$212.54	$340.16	$485.77
United Facility/Professional Professional Modifier Low / Median / High Price $343.26 / $786.56 / $1,496.09	Professional		$343.26	$786.56	$1,496.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.64 / $100.00 / $231.46	Professional	26	$69.64	$100.00	$231.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.26 / $612.52 / $1,139.83	Professional	TC	$243.26	$612.52	$1,139.83