Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.38 / $109.38 / $242.35	Facility	26	$109.38	$109.38	$242.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.62 / $269.86 / $733.46	Professional		$202.62	$269.86	$733.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $140.25 / $794.00	Professional	26	$131.81	$140.25	$794.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.37 / $132.43 / $259.27	Professional	TC	$123.37	$132.43	$259.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $260.88 / $501.47	Professional		$138.31	$260.88	$501.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.62 / $406.24 / $492.90	Professional		$301.62	$406.24	$492.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.37 / $218.85 / $268.45	Professional	26	$162.37	$218.85	$268.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.25 / $185.96 / $224.77	Professional	TC	$139.25	$185.96	$224.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $122.93 / $326.54	Professional		$32.34	$122.93	$326.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.62 / $406.24 / $492.90	Professional		$301.62	$406.24	$492.90
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $162.37 / $218.85 / $268.45	Professional	26	$162.37	$218.85	$268.45
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $139.25 / $185.96 / $224.77	Professional	TC	$139.25	$185.96	$224.77
United Facility/Professional Professional Modifier Low / Median / High Price $338.49 / $374.59 / $577.05	Professional		$338.49	$374.59	$577.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $189.80 / $196.69 / $306.83	Professional	26	$189.80	$196.69	$306.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.95 / $173.22 / $270.23	Professional	TC	$168.95	$173.22	$270.23