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 $317.47 / $355.77 / $1,436.80	Professional		$317.47	$355.77	$1,436.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.38 / $140.25 / $349.57	Professional	26	$109.38	$140.25	$349.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $215.52 / $583.47	Professional	TC	$185.65	$215.52	$583.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $314.95 / $699.48	Professional		$135.05	$314.95	$699.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.01 / $501.40 / $765.08	Professional		$372.01	$501.40	$765.08
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 $209.64 / $282.56 / $426.85	Professional	TC	$209.64	$282.56	$426.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $178.65 / $446.82	Professional		$32.34	$178.65	$446.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.01 / $501.40 / $765.08	Professional		$372.01	$501.40	$765.08
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 $209.64 / $282.56 / $426.85	Professional	TC	$209.64	$282.56	$426.85
United Facility/Professional Professional Modifier Low / Median / High Price $444.98 / $483.63 / $779.74	Professional		$444.98	$483.63	$779.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $189.80 / $196.24 / $306.13	Professional	26	$189.80	$196.24	$306.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.18 / $271.70 / $508.11	Professional	TC	$255.18	$271.70	$508.11