Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.73 / $75.73 / $168.25	Facility	26	$75.73	$75.73	$168.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $417.25 / $787.01	Professional		$393.25	$417.25	$787.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $96.65 / $419.20	Professional	26	$90.71	$96.65	$419.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $323.22 / $609.65	Professional	TC	$302.52	$323.22	$609.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $278.19 / $611.64	Professional		$93.47	$278.19	$611.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.22 / $576.46 / $732.57	Professional		$451.22	$576.46	$732.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.87 / $150.78 / $186.37	Professional	26	$111.87	$150.78	$186.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $339.35 / $447.15 / $547.85	Professional	TC	$339.35	$447.15	$547.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $123.28 / $462.63	Professional		$32.34	$123.28	$462.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.22 / $576.46 / $732.57	Professional		$451.22	$576.46	$732.57
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $111.87 / $150.78 / $186.37	Professional	26	$111.87	$150.78	$186.37
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $339.35 / $447.15 / $547.85	Professional	TC	$339.35	$447.15	$547.85
United Facility/Professional Professional Modifier Low / Median / High Price $544.15 / $571.76 / $898.67	Professional		$544.15	$571.76	$898.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $130.74 / $136.69 / $213.23	Professional	26	$130.74	$136.69	$213.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $413.41 / $434.39 / $685.44	Professional	TC	$413.41	$434.39	$685.44